Individual
MRS. KIMBERLY KOLDENHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 N HALSTED ST STE 525, CHICAGO, IL 60657-9269
(773) 433-3130
(773) 433-3127
Mailing address
3000 N HALSTED ST STE 525, CHICAGO, IL 60657-9269
(773) 433-3130
(773) 433-3127
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.002977
IL
Other
Enumeration date
06/04/2008
Last updated
03/08/2011
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