Kolek, Kristi Beth
Kolek, Kristi Beth is an individual health care provider with primary practice located at 1100 N San Francisco St , Flagstaff AZ 86001-3260. 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. Kolek, Kristi Beth can be contacted via phone (928) 779-7853.Contact Information
Primary practice address
1100 N San Francisco St
Flagstaff AZ 86001-3260
Phone: (928) 779-7853
Fax: (928) 774-0508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3807 | Arizona |
Profile Details
NPI number | 1730357153 |
---|---|
LBN Legal business name | Kolek, Kristi Beth |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2008 |
Last updated | Dec 6th, 2011 - about 14 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 | 1730357153 | NPPES |
Arizona | MEDICAID | 420103 | |
Arizona | Other | 3807 |
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