Individual
KATELYN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-4311
Mailing address
700 NW 4TH ST APT 505, OKLAHOMA CITY, OK 73102-1700
(918) 348-1862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0123120
OK
207Q00000X
Family Medicine Physician
214445
OK
363LF0000X
Family Nurse Practitioner
Primary
214445
OK
Other
Enumeration date
08/01/2023
Last updated
09/07/2023
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