institution
Jo-ann N. Bolli, M. D., P.s.c.
Substance Use Disorder Rehabilitation Clinic/Center in Clinton, Kentucky
NPI 1003153321

Jo-ann N. Bolli, M. D., P.s.c. is a Substance Use Disorder Rehabilitation Clinic/Center based in Clinton, KY and is specialized in Rehabilitation, Substance Use Disorder. Jo-ann N. Bolli, M. D., P.s.c. practices in Clinton, KY. The NPI Number for Jo-ann N. Bolli, M. D., P.s.c. is 1003153321 and holds a License No. 28789 (Kentucky).

The current practice location address for Jo-ann N. Bolli, M. D., P.s.c. is 308 S Washington St, Clinton, KY and can be reached out via phone at 270-653-4070 and via fax at 270-653-4007.

Location: 308 S Washington St, Clinton, KY, 42031-1347
institution
Provider Profile Details
NPI Number
1003153321
Provider Name
Jo-ann N. Bolli, M. D., P.s.c.
Credential
Provider Entity Type
Organization
Address
308 S Washington St, Clinton, KY, 42031-1347
Phone Number
270-653-4070
Fax Number
270-653-4007
Provider Enumeration Date
01/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64287899 05 KY
institution
Provider Business Practice Location Address Details
Address
308 S Washington St
City
State
Zip
42031-1340
Phone Number
270-653-4070
Fax Number
270-653-4007
person
Provider Business Mailing Address Details
Address
308 S Washington St
City
State
Zip
42031-1340
Phone Number
270-653-4070
Fax Number
270-653-4007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
28789 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
28789 (Kentucky)
Definition
Definition to come...
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