Individual
NICOLE F KOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2100 PENNSYLVANIA AVE NW, 4TH FLOOR, WASHINGTON, DC 20037-3202
(202) 529-5200
(202) 269-3462
Mailing address
2100 PENNSYLVANIA AVE NW, 4TH FLOOR, WASHINGTON, DC 20037-3202
(202) 872-7247
(202) 872-7296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7621000632
DC
152W00000X
Optometrist
DA1177
MD
Other
Enumeration date
09/25/2006
Last updated
06/02/2021
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