Provider Demographics
NPI:1669871703
Name:KOHLER, COLBY QUINN (NP)
Entity type:Individual
Prefix:MS
First Name:COLBY
Middle Name:QUINN
Last Name:KOHLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1800 ATLANTIC BLVD APT A203
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5390
Mailing Address - Country:US
Mailing Address - Phone:571-426-0656
Mailing Address - Fax:
Practice Address - Street 1:1714 N ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-7299
Practice Address - Country:US
Practice Address - Phone:305-293-4233
Practice Address - Fax:305-293-4234
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171845363LF0000X
FL9469600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily