Dr. Kenneth J Sullivan-Bol, DC
Chiropractor in Bennington, Vermont
1679529788- Practice location
- 345 Elm St, Bennington, VT 05201-2265
- Phone
- 802-753-7930
- Fax
- 802-753-7924
- Last updated
- April 24, 2024
Kenneth James Sullivan-Bol is a Chiropractor based in Bennington, VT. Kenneth James Sullivan-Bol practices in Bennington, VT and has the professional credentials of DC. The NPI Number for Kenneth James Sullivan-Bol is 1679529788 and holds a License No. 38-009348 (IL). The current practice location address for Kenneth James Sullivan-Bol is 345 Elm St, Bennington, VT 05201-2265 and can be reached out via phone at 802-753-7930 and via fax at 802-753-7924.
Provider Profile Details
- NPI Number
- 1679529788
- Provider Name
- Kenneth James Sullivan-Bol
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 345 Elm St, Bennington, VT 05201-2265
- Phone Number
- 802-753-7930
- Fax Number
- 802-753-7924
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Other Names
- Dr. Kenneth James Sullivan-Bol, DC (Professional Name)
- Provider Enumeration Date
- May 26, 2006
- Last Update Date
- April 24, 2024
- Certification Date
- April 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 345 Elm St
Bennington, VT 05201-2265 - City
- Bennington
- State
- Vermont
- Zip
- 05201-2265
- Phone Number
- 802-753-7930
- Fax Number
- 802-753-7924
Provider Business Mailing Address Details
- Address
- 345 Elm St
Bennington, VT 05201-2265 - City
- Bennington
- State
- VT
- Zip
- 05201-2265
- Phone Number
- 802-753-7930
- Fax Number
- 802-753-7924
License Information
- License Number (1)
- 38-009348
- License State (1)
- IL
- Taxonomy (1)
- Chiropractor · 111N00000X
- License Number (2)
- 006.0061495
- License State (2)
- VT
- Taxonomy (2)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (3)
- 006.0061495
- License State (3)
- VT
- Taxonomy (3)
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Chiropractors near Bennington, VT
View all Chiropractors in Bennington →Frequently Asked Questions
What is the NPI number of Dr. Kenneth J Sullivan-Bol, DC?
The NPI number of Dr. Kenneth J Sullivan-Bol, DC is 1679529788. It was assigned on May 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth J Sullivan-Bol, DC?
Dr. Kenneth J Sullivan-Bol, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in IL under license number 38-009348.
Where does Dr. Kenneth J Sullivan-Bol, DC practice?
The practice location is 345 Elm St, Bennington, VT 05201-2265. The office can be reached at 802-753-7930 (phone) or 802-753-7924 (fax).
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 1679529788 directly on the NPPES registry website.