Individual
MR. KEVIN L BOLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1111
(208) 422-1390
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1111
(208) 422-1390
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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