Individual
DR. DENNY KOLKEBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2445 BETHANY RD, SYCAMORE, IL 60178-3130
(815) 761-7262
(888) 972-6580
Mailing address
1290 SCENIC RD, DEKALB, IL 60115-6109
(815) 761-7262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650018275
RAILROAD MEDICARE
—
Enumeration date
12/28/2005
Last updated
12/12/2014
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