Individual
KATHERINE BEATRICE KOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
AS4021 CANAL ST, JACKSONVILLE, NC 28540
(910) 450-2960
Mailing address
100 WHITE ST, JACKSONVILLE, NC 28540
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208251
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2022
Last updated
06/30/2025
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