Organization
THE BARIATRIC INSTITUE OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL BOLAR MD (PRESIDENT)
(859) 233-0572
Entity
Organization
Contact information
Practice address
125 E MAXWELL ST, SUITE 201, LEXINGTON, KY 40508-2678
(859) 233-0572
(859) 233-0651
Mailing address
870 CORPORATE DR, SUITE 400, LEXINGTON, KY 40503-5416
(859) 277-9436
(859) 277-1765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35317
KY
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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