Individual
OLIVIA COLLEEN JAMES FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25716 WILSON ST, COOLVILLE, OH 45723-8153
(740) 846-0008
(740) 773-4137
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.006647RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419343
—
OH
Enumeration date
09/15/2020
Last updated
03/31/2026
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