Individual
AMY K. BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 CHURCH ST STE 101, PIKEVILLE, KY 41501-3476
(606) 260-8613
(859) 977-2683
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011219
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001537988
ANTHEM
KY
05
—
1881738169
—
WV
05
—
30016137140001
—
VA
05
—
7100452010
—
KY
01
—
CS2128800207
CARESOURCE
KY
Enumeration date
02/19/2007
Last updated
02/13/2024
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