Provider Demographics
NPI:1306138631
Name:VOIGHT, KOLBY EVAN (MD)
Entity type:Individual
Prefix:
First Name:KOLBY
Middle Name:EVAN
Last Name:VOIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 BUNTON CREEK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5787
Mailing Address - Country:US
Mailing Address - Phone:817-458-1774
Mailing Address - Fax:
Practice Address - Street 1:135 BUNTON CREEK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5787
Practice Address - Country:US
Practice Address - Phone:817-458-1774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine