Provider Demographics
NPI:1730627340
Name:KOLLING, ALICIA LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:LYNN
Last Name:KOLLING
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:107 REBECCA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1238
Mailing Address - Country:US
Mailing Address - Phone:724-953-2831
Mailing Address - Fax:
Practice Address - Street 1:5230 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1304
Practice Address - Country:US
Practice Address - Phone:412-623-2167
Practice Address - Fax:412-623-0047
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2024-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA058617363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant