Individual provider · Type 1 NPI

Kelvin Lamont Bolar

Chiropractor · Orange Park, FL

NPI number 1144784067 Active

Practice location

1218 Park Ave
Orange Park, FL 32073-4152

Fax (904) 264-2330

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH12689 (FL)

Chiropractor: 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.

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About NPI 1144784067

Kelvin Lamont Bolar's National Provider Identifier is 1144784067, issued on Jan 24, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Orange Park, FL. The record was last updated on Jan 24, 2019.