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Individual

MYCHAL BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
(270) 827-4671
Mailing address
PO BOX 1637, OWENSBORO, KY 42302-1637
(270) 689-6500

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
02007052A
IN
2084P0800X
Psychiatry Physician
Primary
06195
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2021
Last updated
10/01/2025
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