Individual
JARED NATHAN ROLLINS BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 S FLOYD ST STE 350, LOUISVILLE, KY 40202-1938
(502) 629-2030
(502) 629-2070
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48213
KY
207V00000X
Obstetrics & Gynecology Physician
R2709
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2011
Last updated
10/26/2018
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