NPI 1508639642

Keionya Bolar

Practitioner Prosthetist Indianapolis, IN

Practice location

Address: 3250a W 86th St # 1026, Indianapolis, IN 46268-3605
Phone: (833) 576-9633

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence BYMOJYL6U7 (IN)

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Registry record

NPI: 1508639642
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2023
Record last updated: 1 Mar 2024

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.