Kollaus, Kennard Lee

Kollaus, Kennard Lee is an sole proprietor health care provider with primary practice located at 2525 N Veterans Blvd , Eagle Pass TX 78852-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kollaus, Kennard Lee can be contacted via phone (830) 773-5358.

Contact Information

Primary practice address
2525 N Veterans Blvd Eagle Pass TX 78852-3302
Phone: (830) 773-5358
Fax: (830) 773-0258
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G8222 Texas

Profile Details

NPI number 1528147063
LBN Legal business name Kollaus, Kennard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Nov 9th, 2023 - about last year

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 1528147063 NPPES
Texas Other 1277162-10 MEDICAID-TX PROVIDER IDENTIFIER (TPI) # (TYPE: PERFORMING PROVIDER)

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