Individual
KIMBERLY PAIGE BOLDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 E KIRK ST, HUGO, OK 74743-3607
(580) 322-6527
(580) 326-8047
Mailing address
1212 E KIRK ST, HUGO, OK 74743-3607
(580) 322-6527
(580) 326-8047
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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