| Doctor Name: | JO ANN N BOLLI |
| NPI Number: | 1134198526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 28789 |
| Business Practice Address: | 308 S Washington St Clinton, KY - 420311340 |
| Business Phone Number: | 2702543021 |
| Business Fax Number: | 2702543023 |
| Mailing Address: | Po Box 123, CLINTON |
| State: | KY |
| Postal Code: | 420310123 |
| Phone Number: | 2702543021 |
| Fax Number: | 2702543023 |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 28789 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |