Kelvin Lamont Bolar, | |
1218 Park Ave, Orange Park, FL 32073-4152 | |
(904) 269-2437 | |
(904) 264-2330 |
Full Name | Kelvin Lamont Bolar |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1218 Park Ave, Orange Park, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144784067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH12689 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Kelvin Lamont Bolar, 1218 Park Ave, Orange Park, FL 32073-4152 Ph: (904) 269-2437 | Kelvin Lamont Bolar, 1218 Park Ave, Orange Park, FL 32073-4152 Ph: (904) 269-2437 |
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