Active NPIIndividual providerSole proprietor

Dr. Kevin K Bodling, DC

Chiropractor, Internist in Washington Depot, Connecticut

NPI Number1992087209
Practice location
1 Titus RD, Suite 2, Washington Depot, CT 06794-1516
Fax
—
Last updated
September 13, 2011

Kevin Keith Bodling is a Chiropractor, Internist based in Washington Depot, CT. Kevin Keith Bodling practices in Washington Depot, CT and has the professional credentials of DC. The NPI Number for Kevin Keith Bodling is 1992087209 and holds a License No. 1798 (CT). The current practice location address for Kevin Keith Bodling is 1 Titus RD, Suite 2, Washington Depot, CT 06794-1516 and can be reached out via phone at 888-852-2723.

Provider Profile Details

NPI Number
1992087209
Provider Name
Kevin Keith Bodling
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1 Titus RD, Suite 2, Washington Depot, CT 06794-1516
Phone Number
888-852-2723
Primary Taxonomy
Chiropractor, Internist · 111NI0900X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2011
Last Update Date
September 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Titus RD
Suite 2
Washington Depot, CT 06794-1516
Zip
06794-1516
Phone Number
888-852-2723
Washington Depot, CT 06794Get directions →

Provider Business Mailing Address Details

Address
Po Box 337
Washington Depot, CT 06794-0337
City
Washington Depot
State
CT
Zip
06794-0337

License Information

License Number
1798
License State
CT
Taxonomy
Chiropractor, Internist · 111NI0900X · 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 Dr. Kevin K Bodling, DC?

The NPI number of Dr. Kevin K Bodling, DC is 1992087209. It was assigned on September 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin K Bodling, DC?

Dr. Kevin K Bodling, DC is registered under the primary taxonomy Chiropractor, Internist (code 111NI0900X), licensed in CT under license number 1798.

Where does Dr. Kevin K Bodling, DC practice?

The practice location is 1 Titus RD, Suite 2, Washington Depot, CT 06794-1516. The office can be reached at 888-852-2723 (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 1992087209 directly on the NPPES registry website.

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