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Contact Information

KIMBERLY K KOLB
1431 RUNNION AVE
FORT WAYNE, IN46808
 Phone: 260-444-9207
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY K KOLB · (Female)

NPI # 1326557877
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 32001565A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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