Individual
KEVIN GENE KOLLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Mailing address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001521
IA
Other
Enumeration date
06/27/2006
Last updated
03/07/2023
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