Kollenkark, Kevin

Kollenkark, Kevin is an individual health care provider with primary practice located at 2755 Herndon Ave , Clovis CA 93611-6800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kollenkark, Kevin can be contacted via phone (559) 324-4000.

Contact Information

Primary practice address
2755 Herndon Ave Clovis CA 93611-6800
Phone: (559) 324-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3684 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA3684 California

Profile Details

NPI number 1871767558
LBN Legal business name Kollenkark, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Dec 1st, 2021 - about 4 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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