MEDICARE: MR. KOLBY THOMAS FOLLIS FNP-C

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	163W00000X	Registered Nurse	2022030808	MO
2	363L00000X	Nurse Practitioner	2025049492	MO

General Provider Information

NPI Number	:	1750241949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KOLBY THOMAS FOLLIS FNP-C

Provider Business Mailing Address
First Line	:	4780 KARLIN LN
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-7104
Country	:	US
Telephone Number	:	417-326-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N OAKLAND AVE
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-3099
Country	:	US
Telephone Number	:	417-326-6000
Fax Number	:

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

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	01/20/2026

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