Bolk, Kody Gibson

Bolk, Kody Gibson is an individual health care provider with primary practice located at 550 Peachtree St Ne Ste 1135 , Atlanta GA 30308-2234. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Bolk, Kody Gibson can be contacted via phone (404) 778-3381.

Contact Information

Primary practice address
550 Peachtree St Ne Ste 1135 Atlanta GA 30308-2234
Phone: (404) 778-3381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 95460 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036.170483 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 95460 Georgia

Profile Details

NPI number 1669976023
LBN Legal business name Bolk, Kody Gibson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Jun 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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