Colleen Nell Kolpak PA-C

NPI 1548598386 - Physician Assistant - 363A00000X

NPI Details
NPI 1548598386
Gender Female
Enumeration Date 12/04/2009
Last Updated 07/26/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
5501 OLD YORK RD
EMERGENCY DEPARTMENT
PHILADELPHIA PA, 19141-3018, US
Phone (425) 753-3434
Fax
Business Location
506 S 17TH ST
APT. B
PHILADELPHIA PA, 19146-1513, US
Phone (425) 753-3434
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA054155
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According to our database, Colleen Nell Kolpak PA-C NPI is 1548598386, taxonomy code is 363A00000X and license number is MA054155, license state is located at Pennsylvania. Colleen Nell Kolpak PA-C physically located at 5501 Old York Rd, Philadelphia PA, 19141-3018. NPI Number Colleen Nell Kolpak PA-C has the Individual type.

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1548598386 NPI number is provided on an as is basis without warranty of any kind. 1548598386 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Nell Kolpak PA-C are for informational purposes only.