Individual
KEVIN J KOLCUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2200 NE NEFF RD, BEND, OR 97701-4283
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD, BEND, OR 97701-4283
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00982
OR
Other
Enumeration date
06/28/2005
Last updated
05/09/2022
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