Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIMIKO CHANEE BOLDEN
NPI 1114837580
Registered Nurse - Case Management in Pooler, GA

Q: What is Kimiko Bolden's NPI number?

The NPI number for Kimiko Bolden is 1114837580. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Q: What is Kimiko Bolden's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

Q: When was this NPI record last updated?

The NPPES record for Kimiko Bolden was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2026

508 S ROGERS ST, POOLER, GA 31322(912) 748-6840 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Kimiko Chanee Bolden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMIKO CHANEE BOLDEN (NPI 1114837580) is an individual case management provider in Pooler, Georgia, licensed in Georgia (RN305914) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1114837580

Entity TypeIndividualFemale

Primary Taxonomy163WC0400X

Provider Legal NameKIMIKO CHANEE BOLDEN

Location Address508 S ROGERS STPooler, GA 31322-3116

Mailing Address601 Quacco Rd Unit 3804Savannah, GA 31419-9912 · (912) 390-1148

Phone(912) 748-6840

Sole ProprietorNo

Enumeration DateSeptember 9, 2026

NPPES CertifiedSeptember 9, 2026

✔ NPI 1114837580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in GA · RN305914

508 S ROGERS ST, Pooler, GA 31322

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESORTS AT POOLER INC

Skilled Nursing Facility

508 S ROGERS ST
POOLER, GA 31322

Chatham County (912) 748-6840

EAGLE'S NEST TRUCK STATION, INC

Skilled Nursing Facility

508 S ROGERS ST
POOLER, GA 31322

Chatham County (912) 748-6842

EAGLES NEST TRUCK STATION INC

Skilled Nursing Facility

508 S ROGERS ST
POOLER, GA 31322

Chatham County (912) 748-6842

THE PLACE AT POOLER, LLC

Skilled Nursing Facility

508 S ROGERS ST
POOLER, GA 31322

Chatham County (912) 748-6840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimiko Bolden's NPI number?

The NPI number for Kimiko Bolden is 1114837580. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Kimiko Bolden located?

Kimiko Bolden practices at 508 S Rogers St, Pooler, GA 31322. The listed phone number is (912) 748-6840.

What is Kimiko Bolden's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Kimiko Bolden was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.