Coles, Kymiri Lyn

Coles, Kymiri Lyn is an individual health care provider with primary practice located at 1000 Edison Ave Ne , Grand Rapids MI 49504. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Coles, Kymiri Lyn can be contacted via phone (616) 453-2475.

Contact Information

Primary practice address
1000 Edison Ave Ne Grand Rapids MI 49504
Phone: (616) 453-2475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X Michigan

Profile Details

NPI number 1871094474
LBN Legal business name Coles, Kymiri Lyn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 8 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 1871094474 NPPES
Michigan MEDICAID 235339

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