MR. KIM G COLE PA NPI 1669453221

NPI Information

  • NPI: 1669453221
  • Provider Name: MR. KIM G COLE, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 202 LAKE MIRIAM DR STE S1
    LAKELAND, FL
    ZIP 33813
  • Phone: (863) 647-2333

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NPI Details

MR. Kim G Cole, PA is a medical physician assistant in Lakeland, FL. MR. Kim G Cole, PA NPI is 1669453221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 LAKE MIRIAM DR STE S1
LAKELAND, FL
ZIP 33813-188
Phone: (863) 647-2333
Fax: (863) 393-1995

The enumeration date for this NPI number is 11/10/2005 and was last updated on 4/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA 2993FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110679201OTHERFLORIDACITRUS HEALTHCARE
2E6191ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3PA2993OTHERFLORIDASTATE LICENSE
4P40057MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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