Whalio Doctors

NPI 1679529788

Kenneth James Sullivan-Bol, DC

Practitioner Chiropractor Bennington, VT

Practice location

Address
345 Elm St, Bennington, VT 05201-2265
Phone
(802) 753-7930
Fax
(802) 753-7924

Registered specialties (3)

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 006.0061495 (VT)
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence 38-009348 (IL)
Orthopedic Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence 006.0061495 (VT)

Registry record

NPI
1679529788
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 May 2006
Record last updated
24 Apr 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.