Kenna Bolen, CM, CBRS

NPI #1013885045 in Boise, Idaho

Provider Information

NPI Number: 1013885045
Entity Type: Individual
Name: Kenna Bolen, CM, CBRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: CM, CBRS
Enumeration Date: Oct 29, 2025
Last Updated: Oct 29, 2025

Practice Location

Address: 148 S COLE RD
City: Boise
State: Idaho
ZIP Code: 83709-0932
Phone: (208) 683-8320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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