| NPI | 1205078763 |
|---|---|
| Former Name | KIRSTEN ANN KOLODZK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35096472) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.096472) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2021-04-22 |