KATELYN DOLEZAL


Address: 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905
Phone: 7624082508

KATELYN DOLEZAL (NPI# 1356897953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356897953
Entity Type Individual
Full Name KATELYN DOLEZAL
Credential M.D.
Practice Address 6600 Van Aalst Blvd, Bldg 9250
Fort Benning
GA 31905
Practice Telephone 7624082508
Enumeration Date 2016-09-01
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6600 VAN AALST BLVD, BLDG 9250
City FORT BENNING
State GA
Zip Code 31905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245777291 Kenneth Earl Davis Jr. Nurse Practitioner 6600 Van Aalst Blvd, Bldg 9250, Martin Army Community Hospital, Fort Benning, GA 31905-6535 2017-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134741366 Micah Elizabeth Lajoie Specialist/Technologist 7148 2nd Cavalry Street, Ft. Benning, GA 31905 2020-05-11
1598301384 Tiffany Nicole Wolfe Physical Therapist 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 2019-11-27
1790261022 Kyle Joseph Burkardt Dentist Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 2018-07-19
1821514449 Rebekah Schott Dentist 7101 Hoff St., Fort Benning, GA 31905 2017-08-15
1043757677 Karen Tolliver Dental Hygienist 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 2017-01-20
1043663636 Vicky J. Nehl Dental Hygienist 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 2016-07-19
1376992719 Xenia Key Dental Assistant 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 2016-06-07
1588013189 Barbara Parker Dental Assistant 2828 Sightseeing Rd, Fort Benning, GA 31905 2016-06-06
1568811255 Tavonna Ashley Dental Hygienist 7107 Hoff Street, Apo, AA 31905 2016-06-03
1770956252 Clara Mccomb Military Hospital 6600 Van Aalst Blvd., Fort Benning, GA 31905 2015-11-05
Find all providers in zip 31905

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487182838 Rebecca Davis Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9205, Fort Benning, GA 31905-2102 2017-05-30
1194106898 Justin Sevy Student in an Organized Health Care Education/Training Program 7663 Craig Dr, Fort Benning, GA 31905-7914 2015-06-18
1508466731 Nichelle Pascoe Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 2020-10-27
1407479371 Michael Thomas Dolan Jr. Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 2020-05-26
1619599305 Benjamin Lampe Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 2020-05-15
1326660077 Paige Williams Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 2020-05-15
1649892506 Phillip Michael Scheanon Student in an Organized Health Care Education/Training Program Martin Army Community Hospital, 6600 Van Aalst Boulevard, Fort Benning, GA 31905 2020-05-14
1578185542 Benjamin Elias Garcia Student in an Organized Health Care Education/Training Program Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 2020-05-13
1821610940 Jamison Frost Tate Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 2020-05-12
1902425333 Preston Michael Anderson Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 2020-04-15
Find all providers in FORT BENNING

Competitor

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City FORT BENNING
Zip Code 31905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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