NPI 1356067300
Kolton Chase Bruce, HIS
Practice location
- Address
- 700 N 54th St, Quincy, IL 62305-7909
- Phone
- (217) 640-5904
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1356067300
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Oct 2022
- Record last updated
- 6 Apr 2023
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.