Corey John Koll, PA-C is a surgical physician assistant in Grand Rapids, MI with 7 years of experience. Corey John Koll, PA-C NPI is 1649787128. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI
ZIP 49525-406
Phone: (616) 459-7101
Fax: (616) 464-6170
The NPI 1649787128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/5/2018 and was last updated on 1/5/2018.