Kennard Lee Kollaus in Eagle Pass - Family Medicine

Kennard Lee Kollaus - NPI 1528147063

Kennard Lee Kollaus is a Family Medicine in Eagle Pass, Texas. Kennard Lee Kollaus practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kennard Lee Kollaus is 1528147063. The last update date is 2023-11-09.

Kennard Lee Kollaus's current location address is Po Box 1470, Eagle Pass, Texas. You can contact this provider via phone number 8307738917 and fax number 8307731892. The mailing address for Kennard Lee Kollaus is Po Box 1470, Eagle Pass, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kennard Lee Kollaus
Address Po Box 1470, Eagle Pass, Texas
Phone Number 8307738917
Fax Number 8307731892
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528147063
Provider Enumeration Date 2006-11-03
Last Updated Date 2023-11-09

Provider Mailing Address Detail

Address Po Box 1470
City Eagle Pass
State Texas (TX)
Post Code 788531470
Phone Number 8307738917
Fax Number 8307731892

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G8222
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1277162-10 TX MEDICAID-TX PROVIDER IDENTIFIE

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FAQs about Kennard Lee Kollaus

What is the unique 10-digit identifier code assigned to Kennard Lee Kollaus by the Centers for Medicare & Medicaid Services?

The Kennard Lee Kollaus has been issued the NPI (National Provider Identifier) 1528147063 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kennard Lee Kollaus is physically located?

The Kennard Lee Kollaus is physically situated at the following address: Po Box 1470, Eagle Pass, TX, 788531470.

What is the Kennard Lee Kollaus's area of specialization and corresponding taxonomy classification?

The Kennard Lee Kollaus's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Kennard Lee Kollaus receive its 1528147063 assignment from the Centers for Medicare & Medicaid Services?

The Kennard Lee Kollaus was assigned its 1528147063 on 2006-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kennard Lee Kollaus, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kennard Lee Kollaus, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-09.

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