Individual
KEIONYA BOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250A W 86TH ST # 1026, INDIANAPOLIS, IN 46268-3605
(833) 576-9633
Mailing address
3250A W 86TH ST # 1026, INDIANAPOLIS, IN 46268-3605
(833) 576-9633
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
BYMOJYL6U7
IN
Other
Enumeration date
10/31/2023
Last updated
03/01/2024
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