Doctor Name: | KIRSTEN J BOLTON |
NPI Number: | 1194745497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16344 |
Business Practice Address: | 2781 Highway 145 Saltillo, MS - 388669783 |
Business Phone Number: | 6628690033 |
Business Fax Number: | 6628690053 |
Mailing Address: | Po Box 1308, SALTILLO |
State: | MS |
Postal Code: | 388661308 |
Phone Number: | 6628690033 |
Fax Number: | 6628690053 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 02/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | 16344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |