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Individual

CHASTITY KOLB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP 60715195
WA
363LF0000X
Family Nurse Practitioner
0024171276
VA
363LF0000X
Family Nurse Practitioner
Primary
AP60715195
WA

Other

Enumeration date
06/05/2014
Last updated
03/17/2018
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