Kole, Kerry L
Kole, Kerry L is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kole, Kerry L can be contacted via phone (231) 935-7514.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101012055 | Michigan |
Profile Details
| NPI number | 1912996166 |
|---|---|
| LBN Legal business name | Kole, Kerry L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Oct 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912996166 | NPPES |
| Michigan | Other | 1134176472 | PRACTICE NPI |
| Michigan | MEDICAID | 4604280 | PRACTICE NPI |
| Michigan | MEDICAID | 4578920 | PRACTICE NPI |
| Michigan | Other | 5821108 | PRACTICE NPI |
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