Cole, Kelly Lynn

Cole, Kelly Lynn is an individual health care provider with primary practice located at 1034 Nw 57Th St , Gainesville FL 32605-4482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cole, Kelly Lynn can be contacted via phone (352) 519-5430.

Contact Information

Primary practice address
1034 Nw 57Th St Gainesville FL 32605-4482
Phone: (352) 519-5430
Fax: (352) 333-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103309 Florida

Profile Details

NPI number 1285624932
LBN Legal business name Cole, Kelly Lynn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 30th, 2020 - about 6 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 1285624932 NPPES
Florida MEDICAID 292173100

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