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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629129523 NPPES
Washington MEDICAID 8269276

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