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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE BOLTON

Active

KYLE BOLTON is a Registered Dietitian healthcare provider located in FORT DRUM, New York. NPI 1861151326 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · FORT DRUM, NY

Registration Details

NPI Number
1861151326
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2021 (4.4855539500787 yrs)
Last Updated
Mar 18, 2025

Practice Information

Address
20460 ANACONDA RD
FORT DRUM, NY, 13603
Browse NY providers · Browse ZIP 13603
Phone
4803870619
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in FORT DRUM, NY

Name Credential NPI
LIANA ZACHARIAS R.D., L.D 1518940014
MR. JOHN SEPOWITZ 1366793077
JOSEPH SHEPHERD MS, RD/LD 1184182081
WILLIAM WERTHMAN RD 1043982879
EMILY FAITH CLARK RD 1770249658
LYNETTE MIENTUS MS, RDN 1851011167
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.