Provider Demographics
NPI:1033569686
Name:COLOMBEL, KAMILLE
Entity Type:Individual
Prefix:
First Name:KAMILLE
Middle Name:
Last Name:COLOMBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 STRATFORD WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-8087
Mailing Address - Country:US
Mailing Address - Phone:269-767-6459
Mailing Address - Fax:
Practice Address - Street 1:457 STRATFORD WAY
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-8087
Practice Address - Country:US
Practice Address - Phone:269-767-6459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other