Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Beatrice Kolly, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538803739

Katherine Beatrice Kolly, DO is a Student in an Organized Health Care Education/Training Program in Jacksonville, North Carolina. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

AS4021 Canal St
Jacksonville, NC 28540
Phone: (910) 450-2960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0102208251 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538803739
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 9, 2025
Mailing address100 White St, Jacksonville, NC 28540

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