National Provider Identifier Database

KEIONYA BOLAR
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

KEIONYA BOLAR
3250A W 86TH ST # 1026
INDIANAPOLIS, IN46268-3605
Phone: 833-576-9633
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for KEIONYA BOLAR

NPI Number 1508639642
Credentials
Entity Individual
Enumeration date 10/31/2023
Last updated 03/01/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • IN License #: BYMOJYL6U7
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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