Individual
KOLBIE SARA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 962-6300
(317) 962-2346
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104274424
ANTHEM PTAN
IN
05
—
300096258
—
IN
Enumeration date
07/19/2024
Last updated
06/04/2025
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