Individual
DR. BETHANY LYNN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8028
(719) 589-8086
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8028
(719) 589-8086
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
49510
CO
207V00000X
Obstetrics & Gynecology Physician
81984
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2009-0554
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40282210
—
CO
Enumeration date
07/13/2007
Last updated
10/16/2014
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