Individual
KEVIN PAUL KOLODGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304
(703) 504-3000
Mailing address
351 E FRONT ST APT 3, ERIE, PA 16507-1682
(570) 540-0521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN627040
PA
Other
Enumeration date
03/04/2018
Last updated
05/24/2018
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