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Individual

KATHRYN ANN LIDARD KOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, RN

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1539
(570) 271-6429
(570) 271-6854
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R199260
MD
363L00000X
Nurse Practitioner
Primary
SP026072
PA
363LA2100X
Acute Care Nurse Practitioner
AP145021
TX
363LA2100X
Acute Care Nurse Practitioner
R199260
MD

Other

Enumeration date
10/01/2018
Last updated
10/24/2023
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