| Kathleen a Dolezal Aprn PC | |
|
616 Helena Ave Helena MT 59601-3654 | |
| (406) 495-7220 | |
| Not Available |
| Full Name | Kathleen a Dolezal Aprn PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 616 Helena Ave, Helena, Montana |
| Authorized Official Name and Position | Naomi Pocklington (MANAGER, BILLING COMPANY) |
| Authorized Official Contact | 8666026822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen a Dolezal Aprn PC 616 Helena Ave Ste 301 Helena MT 59601-3654 Ph: (406) 442-3323 | Kathleen a Dolezal Aprn PC 616 Helena Ave Helena MT 59601-3654 Ph: (406) 495-7220 |
| NPI Number | 1356420863 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4284524315 |
|---|---|
| Medicare Enrollment ID | O20040319001057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356420863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 17403 (Montana) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (NU) | Secondary |
| Provider Name | Kathleen a Dolezal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902985419 PECOS PAC ID: 9436049566 Enrollment ID: I20040324001519 |
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