Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01050980A | IN |
N | 207XS0117X | Orthopaedic Spine Surgeon | 01050980A | IN |
NPI | 1144227471 |
---|---|
Provider Name | James Kenneth Cole |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Indianapolis, IN 46227-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 17/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200238720 | (05) | IN |
G98561 | (02) | |
P01424292 | RR MEDICARE (01) | IN |