Keneisha Bolton, is a
Registered Nurse based in Kountze, Texas. Keneisha Bolton is licensed to practice in Texas (license number 897519) and her current practice location is
210 N. Cypress St., Kountze, Texas. She can be reached at her office (for appointments etc.) via phone at
(409) 679-6173.
NPI number for Keneisha Bolton is 1730689571 and her current mailing address is Po Box 1208, Kountze, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730689571.
Provider's Profile
| Full Name | Keneisha Bolton |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 210 N. Cypress St., Kountze, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730689571
- Provider Enumeration Date: 02/19/2018
- Last Update Date: 02/19/2018
Medical Identifiers
Medical identifiers for Keneisha Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730689571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 897519 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keneisha Bolton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keneisha Bolton,
Po Box 1208,
Kountze, TX 77625-1208
Ph: (409) 679-6173 | Keneisha Bolton,
210 N. Cypress St.,
Kountze, TX 77625-7762
Ph: (409) 679-6173 |
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