Individual
DR. KYLE DAVID BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
N4622 COUNTY ROAD M, WEST SALEM, WI 54669-9522
(608) 612-0777
(608) 807-5142
Mailing address
N4622 COUNTY ROAD M, WEST SALEM, WI 54669-9522
(608) 612-0777
(608) 807-5142
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007563
IA
111N00000X
Chiropractor
038011984
IL
111N00000X
Chiropractor
Primary
4770012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427338334
INDIVIDUAL NPI
WI
Enumeration date
08/23/2011
Last updated
07/09/2024
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