Individual
KIMBERLY J BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5337
(904) 535-5365
Mailing address
712 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5337
(904) 535-5365
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/28/2025
Last updated
08/29/2025
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