Individual
EMILY KOLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
515 S MANGUM ST APT 5405, DURHAM, NC 27701-4489
(704) 779-1367
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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