Active NPIIndividual provider

Kenyon C Bolton IV

Internal Medicine in Barre, Vermont

NPI Number1134623135
Practice location
130 Fisher RD, Barre, VT 05641-9004
Fax
—
Last updated
July 21, 2021

Kenyon Castle Bolton is an Internal Medicine based in Barre, VT. Kenyon Castle Bolton practices in Barre, VT. The NPI Number for Kenyon Castle Bolton is 1134623135 and holds a License No. 042.0015361 (VT). The current practice location address for Kenyon Castle Bolton is 130 Fisher RD, Barre, VT 05641-9004 and can be reached out via phone at 802-371-4100.

Provider Profile Details

NPI Number
1134623135
Provider Name
Kenyon Castle Bolton
Provider Entity Type
Individual
Gender
Male
Address
130 Fisher RD, Barre, VT 05641-9004
Phone Number
802-371-4100
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2018
Last Update Date
July 21, 2021
Certification Date
July 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Fisher RD
Barre, VT 05641-9004
City
Barre
State
Vermont
Zip
05641-9004
Phone Number
802-371-4100
Barre, VT 05641Get directions →

Provider Business Mailing Address Details

Address
Po Box 1456
Montpelier, VT 05601-1456
City
Montpelier
State
VT
Zip
05601-1456

License Information

License Number (2)
042.0015361
License State (2)
VT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenyon C Bolton IV?

The NPI number of Kenyon C Bolton IV is 1134623135. It was assigned on March 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Kenyon C Bolton IV?

Kenyon C Bolton IV is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in VT under license number 042.0015361.

Where does Kenyon C Bolton IV practice?

The practice location is 130 Fisher RD, Barre, VT 05641-9004. The office can be reached at 802-371-4100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134623135 directly on the NPPES registry website.

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