Individual
DONALD GARY KOLVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
958 ISABEL DR, LEBANON, PA 17042-7482
(717) 639-2978
(717) 412-1005
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 639-2978
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
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