Individual
MRS. KELLY WOODSIDE KOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1645 BROADWAY, BOULDER, CO 80302-6218
(303) 415-8900
(303) 443-6476
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-8900
(303) 443-6476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005209
CO
363A00000X
Physician Assistant
PA750
WY
Other
Enumeration date
03/06/2018
Last updated
09/29/2022
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