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Individual

EMILY KOLLMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O., M.S.

Contact information

Practice address
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501-5362
(660) 627-7546
Mailing address
PO BOX 52588, TULSA, OK 74152-0588
(918) 712-6024
(918) 749-8712

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6121
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2012
Last updated
05/18/2017
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