Keri Renee Bolin

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

171765 Issued in OH

Practice address

4305 E Trent Ave
Spokane, WA 99212-1315

Phone

(330) 621-8066

NPI assigned

Sep 25, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1366355737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 S MYRTLE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 E TRENT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121315",
            "telephone_number": "330-621-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "KERI",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "171765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Warner Boice, M.D.
• Nicole Christensen Boice, PA-C
• Margaret E Bolam, RD
• Lauren Faith Boldebuck, N.D.
• Jora Bolena, PHARMD
• Chloe Boling, PHD
• Kristen Bolling, FNP
• Deborah Ann Bolo
• Cynthia Karen Bolster, MSN, ARNP
• Megan Bolton

• Addiction Medicine (Preventive Medicine) Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.