Individual
MRS. ELLEN JEAN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4271
Mailing address
18310 W 116TH ST, OLATHE, KS 66061-6552
(913) 888-2714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1062
KS
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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