Individual
KEITH M KOLODZEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 450-3363
(812) 450-3071
Mailing address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 450-3363
(812) 450-3071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11012990
IN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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