Kelvin Lamont Bolar

NPI #1144784067 in Orange Park, Florida

Provider Information

NPI Number: 1144784067
Entity Type: Individual
Name: Kelvin Lamont Bolar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 1218 PARK AVE
City: Orange Park
State: Florida
ZIP Code: 32073-4152
Phone: (904) 269-2437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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