Individual
KATHERINE GRACE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5629 STADIUM DR STE B, KALAMAZOO, MI 49009-1952
(269) 544-3270
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6300
(269) 337-6222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101025468
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101025468
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151010665
MI
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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