Individual
KATHERINE E KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 467-8975
Mailing address
492 N SWALLOW LN, GILBERT, AZ 85234-7919
(480) 467-8975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08704
TX
363AM0700X
Medical Physician Assistant
Primary
5901
AZ
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336161001
—
TX
Enumeration date
07/02/2013
Last updated
02/25/2019
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