Keionya Bolar

NPI #1508639642 in Indianapolis, Indiana

Provider Information

NPI Number
1508639642
Entity Type
Individual
Name
Keionya Bolar
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Enumeration Date
Oct 31, 2023
Last Updated
Mar 1, 2024

Practice Location

Address
3250A W 86TH ST # 1026
State
Indiana
ZIP Code
46268-3605
Phone
(833) 576-9633

Specialties & Taxonomy Codes

Specialty
Prosthetist

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