Kolkman, Paul

Kolkman, Paul is an individual health care provider with primary practice located at 8111 Dodge St Suite 263, Omaha NE 68114-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kolkman, Paul can be contacted via phone (402) 354-8163.

Contact Information

Primary practice address
8111 Dodge St Suite 263 Omaha NE 68114-4129
Fax: (402) 354-2416
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-36341 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 25161 Nebraska

Profile Details

NPI number 1376754408
LBN Legal business name Kolkman, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Oct 6th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376754408 NPPES
Kansas Other 04-36341 STATE LICENSE
Kansas MEDICAID 1376754408 STATE LICENSE
Kansas MEDICAID 47068731707 STATE LICENSE
Kansas Other 7431 STATE LICENSE

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