Provider Demographics
NPI:1225434194
Name:COLBY, DIANNE KRISTINA (DVM)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:KRISTINA
Last Name:COLBY
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1287
Mailing Address - Street 2:
Mailing Address - City:E STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-4587
Mailing Address - Country:US
Mailing Address - Phone:570-242-9724
Mailing Address - Fax:570-420-0219
Practice Address - Street 1:902 HICKORY VALLEY RD
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360
Practice Address - Country:US
Practice Address - Phone:570-242-9724
Practice Address - Fax:570-420-0219
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABV006441E174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian