Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN13241 | MT |
NPI | 1083710826 |
---|---|
Provider Name | Carol Kolar |
First Address | Helena, MT 59601-8049 |
Second Address | Helena, MT 59601-8049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 10/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036300 | BLUE CROSS BLUE SHIELD (01) | MT |
4301583 | (05) | MT |