Bolt, Kristy Michille

Bolt, Kristy Michille is an individual health care provider with primary practice located at 4330 Maynardville Hwy , Maynardville TN 37807. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bolt, Kristy Michille can be contacted via phone (865) 992-3849.

Contact Information

Primary practice address
4330 Maynardville Hwy Maynardville TN 37807
Phone: (865) 992-3849
Fax: (865) 992-5166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN150366 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22497 Tennessee

Profile Details

NPI number 1881117521
LBN Legal business name Bolt, Kristy Michille
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2017
Last updated Jun 14th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881117521 NPPES
Tennessee Other 22497 STATE LICENSE

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