Individual
KRISTI BETH KOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-3260
(928) 779-7853
(928) 774-0508
Mailing address
485 N PINECLIFF DR, FLAGSTAFF, AZ 86001-3380
(928) 380-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3807
STATE LISCENCE
AZ
05
—
420103
—
AZ
Enumeration date
02/19/2008
Last updated
12/06/2011
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