Individual
KELLY CAHILL BOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(570) 851-8177
Mailing address
61 WAGON RD, JEFFERSON TWP, PA 18436-3950
(570) 851-8177
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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