Individual
DR. KIMBERLY L BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE B424, BOWIE, MD 20716-3104
(301) 352-0090
(301) 390-6029
Mailing address
14102 MARY BOWIE PKWY, UPPER MARLBORO, MD 20774-8570
(240) 245-3186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0058411
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403713800
—
MD
Enumeration date
07/06/2006
Last updated
07/15/2016
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