Search › Kentucky › 1223S0112X

Justin Kolasa, D.M.D., M.D

NPI 1598100372 · on the registry since 2013

Practice

Address
400 S 4th St
Danville, KY 40422
Phone
(859) 236-1130
Fax
(859) 239-9384
Organisation at this address
Beto & Bogardus
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 399 W Maple Leaf Rd, Maysville, KY
  • 800 Rose St, Lexington, KY

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
174400000X
390200000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky