Individual provider · Type 1 NPI

Katelyn Marie Kolkebeck, PA

Physician Assistant · South Bend, IN

NPI number 1073423562 Active

Practice location

211 N Eddy St
South Bend, IN 46617-2808

Call (574) 237-9294 Map

Other practice locations

  • 52500 Fir Rd, Granger, IN 46530-8579 · (574) 237-9294

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10005594A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073423562

Katelyn Marie Kolkebeck, PA's National Provider Identifier is 1073423562, issued on Sep 9, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Bend, IN. The record was last updated on Oct 29, 2026.