Individual
DR. KENNETH SCOTT KOLLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
90 CRESTMOOR ST, SPRING MEADOW PROFESSIONAL PARK, COLLINSVILLE, IL 62234-4951
(618) 346-8000
(618) 346-8170
Mailing address
21 WILLOW TRL, COLLINSVILLE, IL 62234-6867
(618) 346-1628
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
02/10/2007
Last updated
07/08/2007
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