Kimiko Chanee Bolden
Individual provider Active NPI Case Management Registered Nurse · Pooler, GA
NPI 1114837580 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1114837580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- RN305914 (GA)
- Practice address
- 508 S Rogers St
Pooler, GA 31322-3116 - Phone
- (912) 748-6840
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN305914 | GA | Yes |
Addresses
Primary practice location
508 S Rogers St
Pooler, GA 31322-3116
Mailing address
601 Quacco Rd Unit 3804
Savannah, GA 31419-9912
Phone (912) 390-1148
Other providers in Pooler, GA
- Shivani Bishnoi
- Adaunte Bivens
- Rachel Lynn Blanco
- Hannah Elizabeth Bogaert
- Mason Bogardus
- Bombery Chiropractic LLC
- Thomas Bombery
- McKenzie Veronica Bond
- Erin Bonnette
- Armani Boone
All providers in Pooler, GA · Case Management Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.