Provider Demographics
NPI:1801681721
Name:KOLB, MICHAEL H
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:KOLB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 DEVILS HOLE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-9641
Mailing Address - Country:US
Mailing Address - Phone:419-360-0178
Mailing Address - Fax:
Practice Address - Street 1:1060 PEARL ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2615
Practice Address - Country:US
Practice Address - Phone:419-352-3651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125064146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic