Individual
DR. KEVIN KEITH BODLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1 TITUS RD, SUITE 2, WASHINGTON DEPOT, CT 06794-1516
(888) 852-2723
Mailing address
PO BOX 337, WASHINGTON DEPOT, CT 06794-0337
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
1798
CT
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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