Condra, Cole S

Condra, Cole S is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Condra, Cole S can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 629-6000
Fax: (502) 629-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 04-32974 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-32974 Kansas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 38540 Kentucky

Profile Details

NPI number 1467436469
LBN Legal business name Condra, Cole S
Credentials MD MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 27th, 2015 - about 10 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 1467436469 NPPES
Kentucky MEDICAID 64080484
Kentucky MEDICAID 200481480
Kentucky MEDICAID 200563930A

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