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Individual
JEFFRY PHILLIP KOLBUS
Active
Individual
JEFFRY PHILLIP KOLBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28231833A
IN
363LF0000X
Family Nurse Practitioner
71015599A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
10036424
OR
Other
Enumeration date
09/29/2023
Last updated
01/02/2025
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