Healthcare Provider Details

I. General information

NPI: 1871399766
Provider Name (Legal Business Name): AALIYAH KOLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 CUSTER AVE
NORFOLK NE
68701-0859
US

IV. Provider business mailing address

301 W 2ND ST
LAUREL NE
68745-1979
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-3567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: