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KEVIN JOHN BOLAK C.P.
NPI 1942408471
Prosthetist in Muskegon, MI

Active since July 05, 2007
3324 GLADE ST, MUSKEGON, MI 49444(231) 215-1419 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin John Bolak C.p. NPPES

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

KEVIN JOHN BOLAK C.P. (NPI 1942408471) is an individual prosthetist provider in Muskegon, Michigan, licensed in Delaware (CP002002) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1942408471
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameKEVIN JOHN BOLAKCredential: C.P.
Location Address3324 GLADE STMuskegon, MI 49444-2708
Mailing Address1946 Horton RdMuskegon, MI 49445-1112 · (231) 215-1419 · Fax (231) 744-7120
Phone(231) 215-1419
Sole ProprietorNo
Enumeration DateJuly 5, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1942408471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in DE · CP002002
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
3324 GLADE ST, Muskegon, MI 49444
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Other Identifiers 2

Other0F10293MI · Bcbsm Provider Pin
Medicare NSC1117870001

Other Providers at the Same Location NPPES 5

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

TRENT JOSEPH VANDERSTELT CPED
Pedorthist
3324 GLADE ST
MUSKEGON, MI 49444
Muskegon County (231) 739-4414
MMSI LLC
Durable Medical Equipment & Medical Supplies
3324 GLADE ST
MUSKEGON, MI 49444
Muskegon County (231) 739-4414
WEST MICHIGAN PEDORTHICS MEDICAL SUPPLY LLC
Orthotist
3324 GLADE ST
MUSKEGON, MI 49444
Muskegon County (231) 739-4414
LAURA JEAN ALLEN CO
Orthotist
3324 GLADE ST
MUSKEGON, MI 49444
Muskegon County (231) 739-4414
MR. MARK M JOYCE CO
Orthotist
3324 GLADE ST
MUSKEGON, MI 49444
Muskegon County (231) 739-4414

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 Kevin Bolak's NPI number?

The NPI number for Kevin Bolak is 1942408471. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Kevin Bolak located?

Kevin Bolak practices at 3324 Glade St, Muskegon, MI 49444. The listed phone number is (231) 215-1419.

What is Kevin Bolak's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Kevin Bolak was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.