Individual
PAUL KOLKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 DODGE ST, SUITE 263, OMAHA, NE 68114-4129
(402) 354-8163
(402) 354-2416
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-36341
KS
208600000X
Surgery Physician
Primary
25161
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-36341
STATE LICENSE
KS
05
—
1376754408
—
IA
05
—
47068731707
—
NE
01
—
7431
LISCENCE
NE
Enumeration date
05/24/2007
Last updated
10/06/2014
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