Individual
DR. KIMBERLY A. BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 EAST CHESTNUT STREET, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 852-4989
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 852-4989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31983
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200180500
—
IN
05
—
64319833
—
KY
Enumeration date
12/20/2006
Last updated
10/12/2020
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