Individual
COLBY STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 E CHESTNUT ST, JUNCTION CITY, KS 66441-9466
(785) 560-3101
(785) 527-8271
Mailing address
1913 M ST, BELLEVILLE, KS 66935-2238
(785) 527-8271
(785) 527-8317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
04067-T
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201202520D
—
KS
01
—
82-3836790
TAX-ID
KS
Enumeration date
06/08/2022
Last updated
06/08/2022
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