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Individual

DR. KELSEY DANIELLE BOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
515 BROADWAY ST, PAINTSVILLE, KY 41240-1391
(606) 422-3333
Mailing address
440 FRANK VANHOOSE BR, STAMBAUGH, KY 41257-9302

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009008
KY

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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