Kyle Bolton
Kyle Bolton is a Student in an Organized Health Care Education/Training Program in Fort Drum, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
20460 Anaconda RdFort Drum, NY 13603
Phone: (480) 387-0619
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1861151326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 13, 2021 |
| Last updated in NPPES | March 18, 2025 |
| Certification date | March 13, 2025 |
| Mailing address | 20460 Anaconda Rd, Fort Drum, NY 13603 |
Other providers in Fort Drum
-
Dr. Martin Joseph De Vita, PHD
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 · (315) 783-8792
-
Jessica Parker Hayden, PHYSICIANASSISTANT
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 · (803) 226-1306
-
Christopher Hodge, MD
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 · (315) 772-2778
-
Mrs. Yadriana Maria Kavitz, STUDENT
11754A Orchard Dr, Fort Drum, NY 13603-3125 · (315) 286-3261