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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1730357153 NPPES
Arizona MEDICAID 420103
Arizona Other 3807

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