# DR. KIMBERLY L BOLLING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255363891
- **Gender:** F
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0058411 | MD | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 07/15/2016
