Individual
RAY BOLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 HOUSTON OAKS DR, PARIS, KY 40361-2704
(606) 584-1169
(800) 584-1465
Mailing address
PO BOX 5, GARRISON, KY 41141-0005
(606) 584-1169
(800) 584-1465
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A01522
KY
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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