NPI 1053541433

Ray Bolander

Practitioner Contractor Paris, KY

Practice location

Address: 436 Houston Oaks Dr, Paris, KY 40361-2704
Phone: (606) 584-1169
Fax: (800) 584-1465
Mailing address: PO Box 5, Garrison, KY 41141-0005

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence A01522 (KY)

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Registry record

NPI: 1053541433
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2009
Record last updated: 21 Jul 2009

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.