DR. Katelynn Colburn

NPI #1104276443 in Thibodaux, Louisiana

Provider Information

NPI Number: 1104276443
Entity Type: Individual
Name: DR. Katelynn Colburn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2016
Last Updated: Jun 17, 2016

Practice Location

Address: 850 N CANAL BLVD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-8076
Phone: (985) 447-4783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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