Individual
DR. JAY K KOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 988-0456
Mailing address
1430 TULANE AVE # 8550, NEW ORLEANS, LA 70112-2632
(504) 988-0456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD422162
PA
2080P0214X
Pediatric Pulmonology Physician
MD.018641
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001948760
—
PA
Enumeration date
02/14/2006
Last updated
12/18/2018
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