Individual
MS. KRISTIN M BOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3313B THRASHER RD, WHITE CLOUD, KS 66094-4028
(785) 585-3450
(785) 595-3493
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-45497-031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161582
BLUE CROSS BLUE SHIELD
KS
05
—
200306850B
—
KS
Enumeration date
04/09/2006
Last updated
09/23/2021
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