Individual
MRS. KAITLIN ROSE KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269-01 76TH AVE, RM CH 222, NEW HYDE PARK, NY 11040
(516) 470-3422
Mailing address
269-01 76TH AVE, RM CH 222, NEW HYDE PARK, NY 11040
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383170
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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