Individual
DIANE KOLENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
619 OLD SYMSONIA RD, BENTON, KY 42025-5094
(270) 527-2411
(270) 527-8734
Mailing address
619 OLD SYMSONIA RD, BENTON, KY 42025-5094
(270) 527-2411
(270) 527-8734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209006254
IL
363LF0000X
Family Nurse Practitioner
Primary
4570P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
766802
HEALTHLINK
KY
01
—
P00296264
RAILROAD MEDICARE
KY
Enumeration date
05/16/2006
Last updated
03/01/2016
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