Individual
DR. KATHLEEN JOAN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7840 NATURAL BRIDGE RD, PATIENT CARE CENTER, SAINT LOUIS, MO 63121-4617
(314) 516-5131
(314) 516-5507
Mailing address
ONE UNIVERSITY BLVD, PATIENT CARE CENTER, ST. LOUIS, MO 63121
(314) 516-5131
(314) 516-5507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002020286
MO
152WL0500X
Low Vision Rehabilitation Optometrist
2002020286
MO
Other
Enumeration date
08/24/2006
Last updated
02/27/2019
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