Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH-13367 | FL |
NPI | 1477141950 |
---|---|
Provider Name | Dr. Colby Kash |
First Address | Delray Beach, FL 33446-1790 |
Second Address | Delray Beach, FL 33446-1790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2021 |
Last Update Date | 09/01/2021 |