Individual
ANNA LEE KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1061 KELLOGG ST, GREEN BAY, WI 54303-2968
(920) 362-8872
Mailing address
1061 KELLOGG ST, GREEN BAY, WI 54303-2968
(920) 362-8872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317723
WI
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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