IndividualActive
Kevin Bolak, C.P.
NPI 1942408471 · Prosthetist · Muskegon, MI
Provider details
- NPI number
- 1942408471
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.P.
- Sex
- Male
- Sole proprietor
- No
- License
- CP002002 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3324 Glade St
Muskegon, MI 49444-2708
Phone: (231) 215-1419
Approximate (ZIP-level) locationGet directions
Mailing address
1946 Horton Rd
Muskegon, MI 49445-1112
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.