Provider Demographics
NPI:1508187923
Name:KARIM-COLE, VICKI
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:KARIM-COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:VICKI
Other - Middle Name:ANN
Other - Last Name:YOUNG AND KARIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2922
Mailing Address - Country:US
Mailing Address - Phone:330-815-9596
Mailing Address - Fax:330-762-5922
Practice Address - Street 1:609 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306
Practice Address - Country:US
Practice Address - Phone:330-785-3316
Practice Address - Fax:330-762-5922
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2962503Medicaid