Individual
JENNIFER L BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2328 1/2 DIXIE HWY, FT MITCHELL, KY 41017-2934
(859) 801-9716
Mailing address
2328 1/2 DIXIE HWY, FT MITCHELL, KY 41017-2934
(859) 801-9716
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201320005
KY
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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