Individual
MS. KIMBERLY ELLEN BOLDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11 S MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 347-4555
Mailing address
11 S MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 347-4555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6303
CT
Other
Enumeration date
09/24/2015
Last updated
07/21/2022
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