Dolezal, Kathleen A

Dolezal, Kathleen A is an individual health care provider with primary practice located at 616 Helena Ave , Helena MT 59601-3654. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dolezal, Kathleen A can be contacted via phone (406) 442-3323.

Contact Information

Primary practice address
616 Helena Ave Helena MT 59601-3654
Phone: (406) 442-3323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 17403 Montana
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 17403 Montana

Profile Details

NPI number 1902985419
LBN Legal business name Dolezal, Kathleen A
Credentials APRN PC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 21st, 2022 - about 3 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 1902985419 NPPES
Montana MEDICAID 4302479

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