Bolla, Kaylene Mary

Bolla, Kaylene Mary is an sole proprietor health care provider with primary practice located at 3416 American River Dr , Sacramento CA 95864-5753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bolla, Kaylene Mary can be contacted via phone (916) 979-0497.

Contact Information

Primary practice address
3416 American River Dr Sacramento CA 95864-5753
Phone: (916) 979-0497
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 446886 California

Profile Details

NPI number 1487302642
LBN Legal business name Bolla, Kaylene Mary
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2022
Last updated Mar 16th, 2022 - about 2 years 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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