Dolder, Kristen L

Dolder, Kristen L is an individual health care provider with primary practice located at 1340 Ryan Pkwy , Algonquin IL 60102-4527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dolder, Kristen L can be contacted via phone (815) 276-0150.

Contact Information

Primary practice address
1340 Ryan Pkwy Algonquin IL 60102-4527
Phone: (815) 276-0150
Fax: (877) 461-6742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004109 Illinois

Profile Details

NPI number 1992072649
LBN Legal business name Dolder, Kristen L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2011
Last updated May 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992072649 NPPES
Illinois Other 085004109 LICENSE

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