Individual
CHRISTOPHER KOLKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52185
CT
207Q00000X
Family Medicine Physician
A78919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045537
—
CT
05
—
100102890B
—
OK
Enumeration date
05/16/2006
Last updated
09/19/2013
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