NPI 1043890304
Mychal Bolton
Practice location
- Address
- 1100 Walnut St, Owensboro, KY 42301-2956
- Phone
- (270) 689-6500
- Fax
- (270) 827-4671
- Mailing address
- PO Box 1637, Owensboro, KY 42302-1637
Registered specialties (3)
Psychiatry Physician
Primary
Psychiatry Physician
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1043890304
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2021
- Record last updated
- 1 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.