MS. KATHLEEN M BOLGER


Address: 2410 Walley Road, Franklin, NY 13775
Phone: 6078293704

MS. KATHLEEN M BOLGER (NPI# 1497772966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497772966
Entity Type Individual
Full Name MS. KATHLEEN M BOLGER
Credential MS APRN BC
Practice Address 2410 Walley Road
Franklin
NY 13775
Mailing Address Po Box 225
C/o Homebase Billing
West Oneonta
NY 13861
Practice Telephone 6078293704
Practice Fax Number 6078292117
Mailing Telephone 6072635987
Mailing Fax Number 6072635987
Enumeration Date 2006-07-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NPPF4007351 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN4923691 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA MB1311288 01

Office Location

Street Address 2410 WALLEY ROAD
City FRANKLIN
State NY
Zip Code 13775

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811443112 Johanna Vandeusen Technician/Technologist 261 Center St, Franklin, NY 13775-0026 2016-08-28
1558489252 Franklin Central School Local Education Agency (LEA) 26 Institute St, Franklin, NY 13775-0888 2007-03-27
1093757072 Gregg Kujawski Nurse Practitioner 12080 County Highway 21, Franklin, NY 13775-3032 2006-06-12
1225422447 Franklin Family Nurse Practitioner Service's Pllc Nurse Practitioner 12080 County Highway 21, Franklin, NY 13775-3032 2015-03-25
1083977730 Nancy Eileen Masucci Specialist 1255 Tupper Hill Rd, Franklin, NY 13775-3529 2012-06-18
1497924328 Stacey Lee Lewis Licensed Practical Nurse 499 Otego Rd, Franklin, NY 13775-4631 2008-02-25
1225310725 Sara Orton Leddy Physical Therapist 642 Otego Rd, Franklin, NY 13775-4637 2011-09-12
1639725260 Thomas A Shaw Counselor 482 Main St Ste B, Franklin, NY 13775-7709 2019-08-09

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1508068925 Dee Gunderson Nurse Practitioner 1404 Marrimans Ct, Franklin, TN 37067-8576 2007-06-05
1073576104 Carol Dee Whitten Nurse Practitioner 2067 Upland Dr, Franklin, TN 37067-4090 2006-04-10
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Competitor

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City FRANKLIN
Zip Code 13775

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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