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NPI Profile for Dr KENNETH J SULLIVAN BOL in BENNINGTON, VT.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1679529788 |
|
| Status | Active | |
| Credentials | D.C. (Doctor of Chiropractic) | |
| Entity | Individual | |
| Enumeration date | 05/26/2006 | |
| Last updated | 04/24/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KENNETH J SULLIVAN BOL
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KENNETH J SULLIVAN BOL, D.C.