Individual
KACI JO BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(321) 841-2335
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(321) 841-2335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11019663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115122300
—
FL
Enumeration date
05/26/2022
Last updated
02/03/2025
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