| Doctor Name: | MS. KRISTIN M BOLTZ |
| NPI Number: | 1134182421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 53-45497-031 |
| Business Practice Address: | 3313b Thrasher Rd White Cloud, KS - 660944028 |
| Business Phone Number: | 7855853450 |
| Business Fax Number: | 7855953493 |
| Mailing Address: | 3313b Thrasher Rd, WHITE CLOUD |
| State: | KS |
| Postal Code: | 660944028 |
| Phone Number: | 7855853450 |
| Fax Number: | 7855953493 |
| NPI Enumeration Date: | 04/09/2006 |
| NPI Last Update Date: | 03/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 53-45497-031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |