Individual
DR. KEVIN OWEN BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST BOX 800377, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9400
(434) 243-6731
Mailing address
1215 LEE ST BOX 800377, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9400
(434) 243-6731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116033093
VA
Other
Enumeration date
04/26/2019
Last updated
06/16/2024
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