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Individual
KRISTIN P COLLADO
Active
Individual
KRISTIN P COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102697
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167G
BCBSNC
NC
01
—
2624961
UHC
NC
01
—
91934
MEDCOST
NC
Enumeration date
10/03/2006
Last updated
12/10/2024
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