National Provider Identifier

David Michael Kolb, PA

David Michael Kolb, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1386804102Rochester, NYPhysician Assistant

Profile Overview

NPI
1386804102
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 16, 2008
Last Updated
December 01, 2009

Practice Location

  • 14 Blue Ridge Trl
  • Rochester, NY 14624-4937

Phone: (585) 922-4000

Mailing Address

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1386804102
Entity Type
Individual
Last Name
Kolb
First Name
David
Middle Name
Michael
Name Prefix
Mr.
Credential
PA
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-4000
Practice Street Address
14 Blue Ridge Trl
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-4937
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
June 16, 2008
Last Updated
December 01, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)