Kevin Gene Kollbaum is a Medical in Onawa, Iowa. Kevin Gene Kollbaum practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin Gene Kollbaum is 1154358885. The last update date is 2023-03-07.
Kevin Gene Kollbaum's current location address is 1614 Diamond Street Pl, Onawa, Iowa. You can contact this provider via phone number 7124231525 and fax number 7124232528. The mailing address for Kevin Gene Kollbaum is 1614 Diamond Street Pl, Onawa, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Gene Kollbaum |
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Address | 1614 Diamond Street Pl, Onawa, Iowa |
Phone Number | 7124231525 |
Fax Number | 7124232528 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1154358885 |
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Provider Enumeration Date | 2006-06-27 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 1614 Diamond Street Pl |
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City | Onawa |
State | Iowa (IA) |
Post Code | 510401554 |
Phone Number | 7124231525 |
Fax Number | 7124232528 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 1521 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique provider identifier assigned to Kevin Gene Kollbaum?
The Kevin Gene Kollbaum has been issued the NPI (National Provider Identifier) 1154358885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Gene Kollbaum?
The Kevin Gene Kollbaum is physically situated at 1614 Diamond Street Pl, in the city of Onawa, state of IA, with the postal code 510401554.
What is Kevin Gene Kollbaum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Gene Kollbaum is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154358885 to Kevin Gene Kollbaum?
The Centers for Medicare & Medicaid Services originally issued the 1154358885 to Kevin Gene Kollbaum on 2006-06-27.
As of what date were the Kevin Gene Kollbaum's details last updated?
The information pertaining to the Kevin Gene Kollbaum, including its address, specialty, and other details, was most recently updated on 2023-03-07.