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Kevin Bolan, RPA C
NPI 1952471187 · on the registry since 2006
Practice
- Address
- 4 Santanoni Drive
Newcomb, NY 12852 - Phone
- (518) 582-2991
- Fax
- (518) 582-2040
- Organisation at this address
- Russell E Rider, Md
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York