Individual
DR. JAMES J KOLENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
239 EDGEWOOD DRIVE EXT., TRANSFER, PA 16154-9999
(724) 646-0400
(724) 646-0413
Mailing address
239 EDGEWOOD DRIVE EXT., TRANSFER, PA 16154-9999
(724) 646-0400
(724) 646-0413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD016698E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000719501 001
—
PA
01
—
0351248
MEDICAL LICENSE
OH
01
—
160899
PA BLUE SHIELD
PA
Enumeration date
08/30/2006
Last updated
01/26/2009
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