MEDICARE: KYLE JOSEPH KOLBET PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	119434	MN

General Provider Information

NPI Number	:	1346405404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE JOSEPH KOLBET PHARM.D.

Provider Business Mailing Address
First Line	:	2438 ASPEN LN SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-0853
Country	:	US
Telephone Number	:	515-745-0576
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W CENTER ST
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-3003
Country	:	US
Telephone Number	:	507-266-7416
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	03/04/2021

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