Individual
STEPHEN BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-5431
(859) 323-2636
Mailing address
2614 FORUM BLVD STE 100, COLUMBIA, MO 65203-5431
(573) 445-5366
(573) 313-3571
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2021039572
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R3915
KY
Other
Enumeration date
06/27/2018
Last updated
06/30/2025
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