Individual
KACEY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
803 MEYERS BAKER RD, SUITE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-3245
Mailing address
803 MEYERS BAKER RD, SUITE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-3245
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3010817
KY
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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