KODY GIBSON BOLK MD NPI 1669976023

NPI Information

NPI: 1669976023
Provider Name: KODY GIBSON BOLK, MD
Classification: Otolaryngology - 207YX0602X
Entity Type: Individual

Specialization: Otolaryngic Allergy

PECOS Registration: Yes

Address:
550 PEACHTREE ST NE STE 1135
ATLANTA, GA
ZIP 30308
Phone: (404) 778-3381
Get Directions

Kody Gibson Bolk, MD is an otolaryngic allergy otolaryngology in Atlanta, GA with 6 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. Kody Gibson Bolk, MD NPI is 1669976023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 PEACHTREE ST NE STE 1135
ATLANTA, GA
ZIP 30308-234
Phone: (404) 778-3381

The NPI 1669976023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 7/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Y00000X	Otolaryngology		95460	GEORGIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207YX0602X	Otolaryngology	Otolaryngic Allergy	95460	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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