Provider Demographics
NPI:1568582740
Name:KOLBE TETTONI, ROBIN (INDEPENDENT HOME HEA)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:KOLBE TETTONI
Suffix:
Gender:F
Credentials:INDEPENDENT HOME HEA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 OLD COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1571
Mailing Address - Country:US
Mailing Address - Phone:614-890-0007
Mailing Address - Fax:614-890-0007
Practice Address - Street 1:153 OLD COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1571
Practice Address - Country:US
Practice Address - Phone:614-890-0007
Practice Address - Fax:614-890-0007
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2525940Medicaid