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:
Health care specialties
| Specialty | Code | License # | 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 6 months ago |
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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