Individual
DR. MICHAEL BRYAN BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 ROSE ST, N217, LEXINGTON, KY 40536-7001
(859) 323-5956
Mailing address
800 ROSE ST, N217, LEXINGTON, KY 40536-7001
(859) 323-5956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3010492
KY
363LC0200X
Critical Care Medicine Nurse Practitioner
3010492
KY
Other
Enumeration date
07/20/2016
Last updated
06/10/2020
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