Individual
JON KOLKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3404 WAKE FOREST RD, STE 303, RALEIGH, NC 27609-7341
(919) 872-3171
(919) 872-6739
Mailing address
3404 WAKE FOREST RD, SUITE 303, RALEIGH, NC 27609-7340
(919) 872-3171
(919) 872-6739
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24115
NC
207XS0106X
Orthopaedic Hand Surgery Physician
24115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902752
—
NC
Enumeration date
05/31/2005
Last updated
11/09/2007
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