PATRICIA A KOLLER APRN NPI 1023101995

NPI Information

NPI: 1023101995
Provider Name: PATRICIA A KOLLER, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
230 N GREEN ST
HENDERSON, KY
ZIP 42420
Phone: (270) 854-3196
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Patricia A Koller, APRN is a family nurse practitioner in Henderson, KY with 19 years of experience. Patricia A Koller, APRN NPI is 1023101995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 N GREEN ST
HENDERSON, KY
ZIP 42420-109
Phone: (270) 854-3196
Fax: (270) 854-3197

The NPI 1023101995 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		71005879A	INDIANA	No
2	363L00000X	Nurse Practitioner		4717P	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	3004717	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78015211	MEDICAID	KENTUCKY
2	000001071134	OTHER	KENTUCKY	ANTHEM-NHC
3	115190	OTHER	KENTUCKY	SIHO-NHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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