Individual
DONALD GARY KOLVA
Active
Individual
DONALD GARY KOLVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD041574E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02326700
CAPITAL BLUE CROSS/KEYSTO
PA
05
—
1196001
—
PA
01
—
592094
BLUE SHIELD
PA
01
—
MD041574E
LICENSE
PA
Enumeration date
09/02/2006
Last updated
03/07/2023
Update your record
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