Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Michael Bolton

Individual provider Athletic Trainer · NPI 1093578577

Kevin Michael Bolton is an Athletic Trainer in Glen Mills, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

2601 Crestline Ct
Glen Mills, PA 19342-8132
Phone: (610) 937-0688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RTO000220 (PA)

Record details

NPI number1093578577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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