Cheryl A Kolkovich in Jefferson - Physician Assistant
Cheryl A Kolkovich - NPI 1326045485
Cheryl A Kolkovich is a Physician Assistant in Jefferson, Wisconsin. Cheryl A Kolkovich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Cheryl A Kolkovich is 1326045485. The last update date is 2022-11-28.
Cheryl A Kolkovich's current location address is 840 W Racine St, Jefferson, Wisconsin. You can contact this provider via phone number 9206746000 and fax number 9206743034. The mailing address for Cheryl A Kolkovich is 840 W Racine St, Jefferson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl A Kolkovich |
|---|---|
| Address | 840 W Racine St, Jefferson, Wisconsin |
| Phone Number | 9206746000 |
| Fax Number | 9206743034 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1326045485 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2022-11-28 |
Provider Mailing Address Detail
| Address | 840 W Racine St |
|---|---|
| City | Jefferson |
| State | Wisconsin (WI) |
| Post Code | 5354910530 |
| Phone Number | 9206746000 |
| Fax Number | 9206743034 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1649 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41978500 | WI | -- |
Post Comment/ Review Below
What is the Cheryl A Kolkovich's unique identification number?
The Cheryl A Kolkovich has been assigned the NPI (National Provider Identifier) Number 1326045485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Cheryl A Kolkovich located?
The Cheryl A Kolkovich is located at 840 W Racine St, Jefferson, WI 5354910530.
What is the Cheryl A Kolkovich's specialty and taxonomy code?
The Cheryl A Kolkovich's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1326045485 assigned to Cheryl A Kolkovich?
The Cheryl A Kolkovich was issued its 1326045485 on 2005-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Cheryl A Kolkovich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cheryl A Kolkovich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-28.