Individual
MS. KATHRYN KOLASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LDN, RD
Contact information
Practice address
101 HEART DRIVE, ECU PHYSICIANS FAMILY MEDICINE, GREENVILLE, NC 27834-4300
(252) 744-4611
(252) 744-2056
Mailing address
PO BOX 751069, ECU PHYSICIANS FAMILY MEDICINE, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141R5
BCBSNC
NC
01
—
710000370
RR MEDICARE
NC
Enumeration date
04/26/2006
Last updated
10/28/2011
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