Healthcare Provider Details

I. General information

NPI: 1922739044
Provider Name (Legal Business Name): KATHY ANN FOLMAR LIFESTYLE COACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHY ANN FOLMAR LIFESTYLE COACH

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

597 W 11TH ST
PANAMA CITY FL
32401-2330
US

IV. Provider business mailing address

597 W 11TH ST
PANAMA CITY FL
32401-2330
US

V. Phone/Fax

Practice location:
  • Phone: 850-252-9652
  • Fax: 850-462-6200
Mailing address:
  • Phone: 850-624-9623
  • Fax: 850-462-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: