Individual
DANIEL MARTIN KOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6019
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021028520
MO
207P00000X
Emergency Medicine Physician
94-09548
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/09/2024
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