Bolder, Kevin G

Bolder, Kevin G is an individual health care provider with primary practice located at 25425 Orchard Village Rd Ste 220 , Santa Clarita CA 91355-2959. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Bolder, Kevin G can be contacted via phone (661) 284-1900.

Contact Information

Primary practice address
25425 Orchard Village Rd Ste 220 Santa Clarita CA 91355-2959
Phone: (661) 284-1900
Fax: (661) 284-1988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU1957 California

Profile Details

NPI number 1023062510
LBN Legal business name Bolder, Kevin G
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023062510 NPPES
California MEDICAID AU0019570

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