Kayla Mae Bolden, CASE MANAGER, CNA

Individual provider Active NPI Case Manager/Care Coordinator · Grand Forks, ND

NPI 1750148433 · NPPES record last updated Feb 29, 2024

Key facts

NPI
1750148433
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Phone
(701) 795-3000
Fax
(701) 795-3050
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

151 S 4TH St Ste 401
Grand Forks, ND 58201-4715

Mailing address

151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000

Other names

  • Kayla Mae Totton Former name

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.