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Individual

MS. KATHLEEN M BOLGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS APRN BC

Contact information

Practice address
2410 WALLEY ROAD, FRANKLIN, NY 13775
(607) 829-3704
(607) 829-2117
Mailing address
PO BOX 225, C/O HOMEBASE BILLING, WEST ONEONTA, NY 13861
(607) 263-5987
(607) 263-5987

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NPPF4007351
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN4923691
NY

Other

Enumeration date
07/17/2006
Last updated
03/07/2023
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