Individual
MR. KURT E BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
514 S 13TH ST, TACOMA, WA 98402-1908
(253) 732-9655
(253) 593-2744
Mailing address
514 S 13TH ST, TACOMA, WA 98402-1908
(253) 732-9655
(253) 593-2744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CP00002762
WA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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