| Kelly L Cole, DO | |
|
121 E Main St, Providence, KY 42450-1268 | |
| (270) 667-2023 | |
| (270) 667-7518 |
| Full Name | Kelly L Cole |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 121 E Main St, Providence, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588638969 | NPI | - | NPPES |
| 00000043968 | Other | KY | ANTHEM BLUE CROSS & BLUE |
| 027299800 | Other | BLACK LUNG | |
| 1103582 | Medicaid | KY | |
| 1386132 | Other | THE FUNDS ID | |
| 64024375 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02437 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Home Care | Madisonville, KY | Home health agency |
| St Anthony's Hospice Inc | Henderson, KY | Hospice |
| Methodist Hospital | Henderson, KY | Hospital |
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Methodist Hospital Union County | Morganfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Clinic Inc | 3375610116 | 353 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259 |
| Entity Name | Deaconess Union County Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003481201 PECOS PAC ID: 5799189866 Enrollment ID: O20210811002781 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly L Cole, DO Po Box 310, Providence, KY 42450-0310 Ph: (270) 667-2023 | Kelly L Cole, DO 121 E Main St, Providence, KY 42450-1268 Ph: (270) 667-2023 |
Kenneth W Cloern, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 | |
Tristan K Lineberry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 | |
Jami T Perry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 |