Individual
KATHLEEN A DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PC
Contact information
Practice address
616 HELENA AVE, HELENA, MT 59601-3654
(406) 442-3323
Mailing address
616 HELENA AVE STE 301, HELENA, MT 59601-3654
(406) 442-3323
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
17403
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17403
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4302479
—
MT
Enumeration date
11/03/2006
Last updated
07/21/2022
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