Cole, Lela Kristine

Cole, Lela Kristine is an individual health care provider with primary practice located at 110 S 9Th St , Mayfield KY 42066-2208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cole, Lela Kristine can be contacted via phone (270) 247-7795.

Contact Information

Primary practice address
110 S 9Th St Mayfield KY 42066-2208
Phone: (270) 247-7795
Fax: (270) 247-9013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6289P Kentucky

Profile Details

NPI number 1609104546
LBN Legal business name Cole, Lela Kristine
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2009
Last updated May 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609104546 NPPES
Kentucky Other 000000644605 ANTHEM BCBS
Kentucky MEDICAID 7100110690 ANTHEM BCBS

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