Individual
KATHERINE D KOLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576007863110
BCBS OF SC
SC
05
—
NP1279
—
SC
01
—
P00683526
RR MEDICARE
SC
01
—
P00817201
RR MEDICAID
SC
Enumeration date
08/23/2008
Last updated
06/30/2020
Update your record
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