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

Mackenzie Kaytlynn Bolls

Individual provider Community Health Worker · NPI 1316813165

Mackenzie Kaytlynn Bolls is a Community Health Worker in Mount Shasta, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

310 N Mount Shasta Blvd Ste 5 Ste 5
Mount Shasta, CA 96067-2352
Phone: (530) 524-9661
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1316813165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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