Individual
KATHY LYNN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1250 KEENE RD, NICHOLASVILLE, KY 40356-7600
(859) 858-9355
(859) 858-0416
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(859) 858-9355
(859) 858-0416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004184
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100123020
—
KY
Enumeration date
05/23/2007
Last updated
03/16/2016
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