Dr. Kerry L. Kole PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

012055 Issued in MI

Legal business name

DR. KERRY L. KOLE PC

Practice address

7733 E Jefferson Ave
Detroit, MI 48214-3707

Phone

(248) 967-7136

Fax

(248) 684-1390

NPI assigned

May 4, 2008

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerry L Kole, DO

Title

President

Phone

(248) 684-6656

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1245406875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5086 STONEHENGE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483062652",
            "telephone_number": "248-684-6656",
            "fax_number": "248-684-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143707",
            "telephone_number": "248-967-7136",
            "fax_number": "248-684-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KERRY L. KOLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "KOLE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-684-6656",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "012055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4578920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr L Reynolds Associates PC
• Dr L Reynolds Associates PC
• Dr L Reynolds Associates, PC
• Dr L Reynolds Associates, PC
• Dr Robert F Lee
• Dr. Robert P. Dipilla and Associates, PC
• Dr. Wasfeh Musheinesh, P.C. (Vernor Family Care Medical Center)
• Dr. Wasfeh Musheinesh, P.C. (Springwells Family Care Medical Center)
• Dr. Wendy McKay P.C. Dba Springwells Clinic (Dr. Wendy McKay DBA Family Care Medical Center)
• Dr. Wendy McKay PC (Family Care Medical Cener)

• Surgery Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.