Organization
JEN'S EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN BOLTON (OWNER)
(859) 801-9716
Entity
Organization
Contact information
Practice address
2328 1/2 DIXIE HWY, FT MITCHELL, KY 41017-2934
(859) 801-9716
Mailing address
2328 1/2 DIXIE HWY, FT MITCHELL, KY 41017-2934
(859) 801-9716
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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