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KYLE ANTHONY PRESTON BOLAM
NPI 1306463302
Day Training/Habilitation Specialist in Wasilla, AK

Active since June 25, 2020
1401 S SEWARD MERIDIAN PKWY # ABC, WASILLA, AK 99654(907) 631-3520 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Anthony Preston Bolam NPPES

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

KYLE ANTHONY PRESTON BOLAM (NPI 1306463302) is an individual day training/habilitation specialist in Wasilla, Alaska and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1306463302
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameKYLE ANTHONY PRESTON BOLAM
Location Address1401 S SEWARD MERIDIAN PKWY # ABCWasilla, AK 99654-8312
Mailing Address1401 S Seward Meridian Pkwy # AbcWasilla, AK 99654-8312 · (907) 631-3520
Phone(907) 631-3520
Sole ProprietorNo
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1306463302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
1401 S SEWARD MERIDIAN PKWY # ABC, Wasilla, AK 99654
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Other Providers at the Same Location NPPES 20

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

JESSICA MARIE VARAH
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
MEKAYLA ROSE COOKS
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
SANDRA LEE PEREIRA
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
CECILIA ANASTASIA
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
MARY GLADYS WHITE-MEACHAM
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
ZANYA KIMBERLY BETH CALDWELL
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
HUNTER KAI YORK
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
MARK HILL
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY # ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520

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 Kyle Bolam's NPI number?

The NPI number for Kyle Bolam is 1306463302. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Kyle Bolam located?

Kyle Bolam practices at 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654. The listed phone number is (907) 631-3520.

What is Kyle Bolam's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Kyle Bolam was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.