Individual
KATHERINE KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13934 GOLD CIR, OMAHA, NE 68144-2359
(800) 259-9897
Mailing address
808 LAKESHORE DR, BERKELEY LAKE, GA 30096-3042
(770) 634-6542
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
7466
NC
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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