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Individual

MR. CHRISTOPHER MICHAEL KOLOBOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
6737B CODY ST, BONNERS FERRY, ID 83805-8504
(208) 267-2225
(208) 267-9303
Mailing address
6737B CODY ST UNIT B, BONNERS FERRY, ID 83805-8504
(208) 267-2225
(208) 267-9303

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-44230
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1543A
ID

Other

Enumeration date
02/12/2015
Last updated
01/15/2026
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