Individual
GEORGE KOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1010 CARONDELET DR, SUITE # 220, KANSAS CITY, MO 64114-4859
(816) 941-1600
(816) 941-1699
Mailing address
1010 CARONDELET DR, SUITE # 220, KANSAS CITY, MO 64114-4859
(816) 941-1600
(816) 941-1699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D.O. 104087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144104
RAILROAD MEDICARE
MO
05
—
243968401
—
MO
Enumeration date
05/24/2006
Last updated
09/02/2010
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