Individual
KIM RENEE KOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-EEG-T, CNIM
Contact information
Practice address
25 HIGHLAND PARK VLG STE 100-225, DALLAS, TX 75205-2789
(214) 536-1647
(214) 580-7600
Mailing address
25 HIGHLAND PARK VLG, STE 100-225, DALLAS, TX 75205
(214) 536-1647
(214) 580-7600
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
3404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3407
R-EEG-T
TX
Enumeration date
06/21/2005
Last updated
07/21/2022
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