IndividualActive
Keionya Bolar
NPI 1508639642 · Prosthetist · Indianapolis, IN
Provider details
- NPI number
- 1508639642
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- BYMOJYL6U7 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3250a W 86th St # 1026
Indianapolis, IN 46268-3605
Phone: (833) 576-9633
Approximate (ZIP-level) locationGet directions
Mailing address
3250a W 86th St # 1026
Indianapolis, IN 46268-3605
Registry dates
- Enumerated
- 2023-10-31
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.