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Kevin John Bolak, CP
Prosthetist in Muskegon, Michigan
NPI 1942408471

Kevin John Bolak is a Prosthetist based in Muskegon, MI. Kevin John Bolak practices in Muskegon, MI and has the professional credentials of CP. The NPI Number for Kevin John Bolak is 1942408471 and holds a License No. CP002002 (Michigan).

The current practice location address for Kevin John Bolak is 3324 Glade St, Muskegon, MI and can be reached out via phone at 231-215-1419. You can also correspond with Kevin John Bolak through the mailing address at 1946 HORTON RD, MUSKEGON, MI - 49445-1112 (mailing address contact number: 231-215-1419).

Location: 3324 Glade St, Muskegon, MI, 49445-1112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942408471
Provider Name
Kevin John Bolak
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
3324 Glade St, Muskegon, MI, 49445-1112
Phone Number
231-215-1419
Fax Number
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F10293 01 MI BCBSM PROVIDER PIN
institution
Provider Business Practice Location Address Details
Address
3324 Glade St
City
Muskegon
State
Michigan
Zip
49444-2708
Phone Number
231-215-1419
Fax Number
person
Provider Business Mailing Address Details
Address
3324 Glade St
City
Muskegon
State
Michigan
Zip
49444-2708
Phone Number
231-215-1419
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CP002002 (Delaware)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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