Individual
MR. JASON RICHARD KOLKMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8580
(317) 398-0121
Mailing address
30 W RAMPART ST, SUITE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000717A
IN
Other
Enumeration date
09/24/2006
Last updated
09/02/2020
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