Provider Demographics
NPI:1770779761
Name:KONTIR, NATALEE ANN (DO)
Entity type:Individual
Prefix:
First Name:NATALEE
Middle Name:ANN
Last Name:KONTIR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9 N 7TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1803
Mailing Address - Country:US
Mailing Address - Phone:724-357-7196
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:121 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:HOMER CITY
Practice Address - State:PA
Practice Address - Zip Code:15748-1518
Practice Address - Country:US
Practice Address - Phone:724-479-2583
Practice Address - Fax:724-479-0749
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2009-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102009492Medicaid
PA120479NWBMedicare PIN