Provider Demographics
NPI:1235028796
Name:COLE, KIANA
Entity type:Individual
Prefix:
First Name:KIANA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 W OAKLAND PARK BLVD # 291
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6808
Mailing Address - Country:US
Mailing Address - Phone:786-318-9095
Mailing Address - Fax:213-867-9480
Practice Address - Street 1:11110 W OAKLAND PARK BLVD # 291
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6808
Practice Address - Country:US
Practice Address - Phone:786-318-9095
Practice Address - Fax:213-867-9480
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion