Individual
KATRINA ANN KOLASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-2222
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51599
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100315270
—
KY
Enumeration date
04/24/2013
Last updated
02/01/2021
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