Basic Information
Provider Information
NPI: 1487001913
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLE
FirstName: DEVLIN
MiddleName: KATHLEEN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1319 PUNAHOU ST # 741
Address2:  
City: HONOLULU
State: HI
PostalCode: 968261001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
Address2:  
City: MADISON
State: WI
PostalCode: 537921001
CountryCode: US
TelephoneNumber: 6082636400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/13/2016
LastUpdateDate: 05/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083P0901X8218-851WIY Allopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine

No ID Information.


Home