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Contact Information

KEVIN C BOLEN, CST/CSFA
1046 6TH AVE SW
ALBANY, OR97321-1916
 Phone: 541-812-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for KEVIN C BOLEN · (Male)

NPI Number 1376107250
Status Active
Credentials CST/CSFA
Entity Individual
Enumeration date 04/26/2019
Last updated 04/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 187722
Hospital affiliation(s) Not Available
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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