MR. KIM G COLE PA
NPI 1669453221
Physician Assistant - Medical in Lakeland, FL

Q: What is Kim Cole's NPI number?

The NPI number for Kim Cole is 1669453221. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Kim Cole's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kim Cole was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2005

202 LAKE MIRIAM DR STE S1, LAKELAND, FL 33813(863) 647-2333(863) 393-1995 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Kim G Cole Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIM G COLE PA (NPI 1669453221) is an individual medical provider in Lakeland, Florida, licensed in Florida (PA 2993) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1669453221

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. KIM G COLECredential: PA

Location Address202 LAKE MIRIAM DR STE S1Lakeland, FL 33813-2188

Mailing Address202 Lake Miriam Dr Ste S1Lakeland, FL 33813-2188 · (863) 647-2333 · Fax (863) 644-6729

Phone(863) 647-2333

Fax(863) 393-1995

Sole ProprietorNo

Enumeration DateNovember 10, 2005

Last NPPES UpdateApril 20, 2011

✔ NPI 1669453221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA 2993

202 LAKE MIRIAM DR STE S1, Lakeland, FL 33813

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Other Identifiers 4

Other10679201FL · Citrus Healthcare

Medicare ID-Type UnspecifiedE6191ZFL

OtherPA2993FL · State License

Medicare UPINP40057FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOBBIE FERRELL ARNP

Nurse Practitioner

202 LAKE MIRIAM DR STE S1
LAKELAND, FL 33813

Polk County (863) 647-2333

LAKELAND DERMATOLOGY

Specialist

202 LAKE MIRIAM DR STE S1
LAKELAND, FL 33813

Polk County (863) 647-2333

CAITLIN R. FREDERICKA

Nurse Practitioner

202 LAKE MIRIAM DR STE S1
LAKELAND, FL 33813

Polk County (863) 647-2333

SAMANTHA LEE RIOS APRN

Nurse Practitioner

202 LAKE MIRIAM DR STE S1
LAKELAND, FL 33813

Polk County (866) 400-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Cole's NPI number?

The NPI number for Kim Cole is 1669453221. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Kim Cole located?

Kim Cole practices at 202 Lake Miriam Dr Ste S1, Lakeland, FL 33813. The listed phone number is (863) 647-2333.

What is Kim Cole's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kim Cole was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.