Colletto, Kris
Colletto, Kris is an individual health care provider with primary practice located at 3400 Main St , Vancouver WA 98663-2223. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Colletto, Kris can be contacted via phone (360) 696-5232.Contact Information
Primary practice address
3400 Main St
Vancouver WA 98663-2223
Phone: (360) 696-5232
Fax: (360) 696-5228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD00039202 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | BC5836032 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00039202 | Washington |
Profile Details
| NPI number | 1629129523 |
|---|---|
| LBN Legal business name | Colletto, Kris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Mar 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629129523 | NPPES |
| Washington | MEDICAID | 8269276 |
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