Kokkelenberg, Olivia

Kokkelenberg, Olivia is an individual health care provider with primary practice located at 215 Wyoming St Ste 202 , Syracuse NY 13204-2928. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Kokkelenberg, Olivia can be contacted via phone (315) 703-8700.

Contact Information

Primary practice address
215 Wyoming St Ste 202 Syracuse NY 13204-2928
Phone: (315) 703-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1356085385
LBN Legal business name Kokkelenberg, Olivia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2022
Last updated Apr 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers