Jill Maureen Bolling, ATC
Individual provider Active NPI Athletic Trainer · Overland Park, KS
NPI 1013170398 · NPPES record last updated Jul 7, 2008
Key facts
- NPI
- 1013170398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2006017384 (MO)
- Practice address
- 6405 Metcalf Ave
Ste 220
Overland Park, KS 66202-3927 - Phone
- (816) 877-0561
- Fax
- (816) 877-0565
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006017384 | MO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arc Rehabilitation Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2006017384 | MO | Yes |
Addresses
Primary practice location
6405 Metcalf Ave
Ste 220
Overland Park, KS 66202-3927
Mailing address
6405 Metcalf Ave
Ste 220
Overland Park, KS 66202-3927
Phone (816) 877-0561
Other providers in Overland Park, KS
- Barry Boicourt
- Gentry Webb Boland
- Megan B Bolch
- Hayden Boleski
- Usha Sri Bollineni
- Julie Bollinger
- Kathleen A Bolt
- Benjamas W Bolton
- James Kenneth Bonafide
- Andrea R Bond
All providers in Overland Park, KS · Athletic Trainer in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.