NPI 1851712905

Katherine Kolb

Practitioner PACE Provider Organization Omaha, NE

Practice location

Address: 13934 Gold Cir, Omaha, NE 68144-2359
Phone: (800) 259-9897
Mailing address: 808 Lakeshore Dr, Berkeley Lake, GA 30096-3042

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 7466 (NC)

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Registry record

NPI: 1851712905
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2013
Record last updated: 16 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.