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

Kyle Anthony Preston Bolam

Individual provider Day Training/Habilitation Specialist · NPI 1306463302

Kyle Anthony Preston Bolam is a Day Training/Habilitation Specialist in Wasilla, Alaska. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1401 S Seward Meridian Pkwy # Abc
Wasilla, AK 99654-8312
Phone: (907) 631-3520
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1306463302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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