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NPI Code Detail

MEDICARE: DR. JAY K KOLLS MD

MEDICARE:  DR. JAY K KOLLS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0214XPediatric Pulmonology PhysicianMD.018641LA
2174400000XSpecialistMD422162PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447224860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY K KOLLS MD
Provider Business Mailing Address
First Line : 1430 TULANE AVE # 8550
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-2632
Country : US
Telephone Number : 504-988-0456
Fax Number :
Provider Business Practice Location Address
First Line : 200 HENRY CLAY AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5720
Country : US
Telephone Number : 504-988-0456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 12/18/2018

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Directions to “ DR. JAY K KOLLS MD” Practice Location

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