Individual
KAITLYND BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
829 FAIRMONT RD STE 104, WESTOVER, WV 26501-3892
(304) 305-1506
Mailing address
829 FAIRMONT RD STE 104, WESTOVER, WV 26501-3892
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
92460
WV
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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