Penny Bolen, RD, LDN
Penny Bolen, RD, LDN is a Registered Dietitian in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
Practice location Address checks out
1401 E State StRockford, IL 61104-2315
Phone: (815) 489-4662
Fax: (815) 961-2438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 164.001351 (IL) |
|---|
Record details
| NPI number | 1487941886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , LDN |
| Sole proprietor | No |
| NPI enumerated | July 6, 2011 |
| Last updated in NPPES | July 6, 2011 |
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