Individual
DR. JOSEPH R KOLB III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01063040A
IN
208200000X
Plastic Surgery Physician
Primary
50232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610338
ANTHEM
IN
01
—
022338
KAISER COMMERCIAL NUMBER
CO
05
—
200857800
—
IN
05
—
84507357
—
CO
Enumeration date
02/05/2007
Last updated
06/17/2021
Update your record
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