Individual
KENNETH S KOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3304 SHADY LN, SUAMICO, WI 54313-8712
(920) 503-0003
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13282-40
WI
Other
Enumeration date
10/24/2019
Last updated
05/06/2020
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