KELVIN LAMONT BOLAR - NPI 1144784067 - Chiropractor in Orange Park, FL

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Kelvin Lamont Bolar NPPES

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

KELVIN LAMONT BOLAR (NPI 1144784067) is an individual chiropractor in Orange Park, Florida, licensed in Florida (CH12689) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1144784067

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameKELVIN LAMONT BOLAR

Location Address1218 PARK AVEOrange Park, FL 32073-4152

Mailing Address1218 Park AveOrange Park, FL 32073-4152 · (904) 269-2437

Phone(904) 269-2437

Fax(904) 264-2330

Sole ProprietorNo

Enumeration DateJanuary 24, 2019

✔ NPI 1144784067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH12689

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1218 PARK AVE, Orange Park, FL 32073

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