Individual
TERRI L KOLKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131-2328
(314) 996-7272
Mailing address
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131-2328
(314) 996-7272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
105167
MO
363AM0700X
Medical Physician Assistant
105167
MO
Other
Enumeration date
02/17/2006
Last updated
11/26/2021
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