Individual provider · Type 1 NPI

Kenneth Boll

Electroneurodiagnostic Specialist/Technologist · Las Vegas, NV

NPI number 1114496841 Active

Practice location

9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528

Call (855) 864-4322 Map

Mailing address

33730 Desert Rd
Acton, CA 93510-1420

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1114496841

Kenneth Boll's National Provider Identifier is 1114496841, issued on Nov 26, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 26, 2018.