Individual
JENNIFER KOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME43450
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME43450
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27930572
—
CO
01
—
802808
ANTHEM/BLUE CROSS
CO
01
—
P00264881
RAILROAD MEDICARE
CO
Enumeration date
05/13/2006
Last updated
07/17/2014
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