MYCHAL BOLTON
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1043890304- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1100 WALNUT ST, OWENSBORO, KY, 423012956
- Phone
- (270) 689-6500
- Fax
- (270) 827-4671
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: IN #02007052A
Psychiatry & Neurology, Psychiatry
Primary License: KY #06195
Student in an Organized Health Care Education/Training Program