Kenneth J Sullivan Bol (NPI# 1679529788, PAC ID# 3173515020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1679529788 |
| PAC ID by PECOS | 3173515020 |
| Professional Enrollment ID | I20100313000049 |
| Full Name | Kenneth J Sullivan Bol |
| Organization Legal Name | CHIRO MED AND REHAB |
| Address |
345 Elm St Bennington VT 05201-2265 |
| Phone Number | 8027537930 |
| Gender | M |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2001 |
| Primary Specialty | CHIROPRACTIC |
| Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 3870757610 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 345 Elm St, Bennington, VT 05201-2265 | 8027537930 | CHIRO MED AND REHAB |
| Organization Legal Name | CHIRO MED AND REHAB |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea M Tarsa | Occupational Therapy | Chiro Med and Rehab | 345 Elm St, Bennington, VT 05201-2265 |
| Street Address |
345 ELM ST |
| City | BENNINGTON |
| State | VT |
| Zip | 05201-2265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea M Tarsa | Occupational Therapy | Chiro Med and Rehab | 345 Elm St, Bennington, VT 05201-2265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Tarnas | Family Medicine | Southwestern Vermont Medical Center Inc | Svmc Deerfield Valley Campus, 30 Route 100 South, Bennington, VT 05201 |
| Nora G Parsons | Clinical Social Worker | 185 N St, Bennington, VT 05201-1813 | |
| Mary Pat Mazzola | Psychologist, Clinical | 185 N St, Bennington, VT 05201-1813 | |
| David J Mellinger | Psychologist, Clinical | 185 N St, Bennington, VT 05201-1813 | |
| Maureen M Mcclintock | Clinical Social Worker | 185 N St, Bennington, VT 05201-1813 | |
| Marjorie C Larowe | Psychologist, Clinical | 160 Benmont Ave, Suite 28, Bennington, VT 05201-1842 | |
| Glen C Mackenzie | Obstetrics/gynecology | 160 Benmont Ave, Suite 22, Bennington, VT 05201-1842 | |
| David S Brown | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Kristen A Munson | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Lisa M Pezzulich | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Find all physicians in zip 05201 | |||
| City | BENNINGTON |
| Zip Code | 05201 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BENNINGTON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kenneth J Sullivan Bol.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.