Jason Richard Kolkmeier in Shelbyville - Physician Assistant
Jason Richard Kolkmeier - NPI 1093815516
Jason Richard Kolkmeier is a Physician Assistant in Shelbyville, Indiana. Jason Richard Kolkmeier practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Richard Kolkmeier is 1093815516. The last update date is 2020-09-02.
Jason Richard Kolkmeier's current location address is 30 W Rampart St, Shelbyville, Indiana. You can contact this provider via phone number 3174212012. The mailing address for Jason Richard Kolkmeier is 30 W Rampart St, Shelbyville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Richard Kolkmeier |
|---|---|
| Address | 30 W Rampart St, Shelbyville, Indiana |
| Phone Number | 3174212012 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093815516 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2020-09-02 |
Provider Mailing Address Detail
| Address | 30 W Rampart St |
|---|---|
| City | Shelbyville |
| State | Indiana (IN) |
| Post Code | 461768846 |
| Phone Number | 3174212012 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000717A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Jason Richard Kolkmeier by the Centers for Medicare & Medicaid Services?
The Jason Richard Kolkmeier has been assigned the NPI (National Provider Identifier) 1093815516. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jason Richard Kolkmeier located?
The Jason Richard Kolkmeier is located at 30 W Rampart St, Shelbyville, IN 461768846.
What is Jason Richard Kolkmeier's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Richard Kolkmeier's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Jason Richard Kolkmeier receive the assignment of its 1093815516 from the Centers for Medicare & Medicaid Services?
The Jason Richard Kolkmeier was issued its 1093815516 by the Centers for Medicare & Medicaid Services on 2006-09-24.
As of what date were the Jason Richard Kolkmeier's details last updated?
The information pertaining to the Jason Richard Kolkmeier, including its address, specialty, and other details, was most recently updated on 2020-09-02.
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