{"npi":"1215372263","type":"NPI-1","status":"active","name":{"display":"Dr. Kelly Bolton MD","other":[],"first":"KELLY","last":"BOLTON","middle":"LEIGH","credential":"MD"},"specialty":{"primary_taxonomy":"207RX0202X","primary_taxonomy_description":"Medical Oncology Physician","slug":"medical-oncology-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MO","license":"2020041309"},{"code":"207RX0202X","description":"Medical Oncology Physician","primary":true,"state":"MO","license":"2020041309"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 BARNES JEWISH HOSPITAL PLZ","city":"SAINT LOUIS","state":"MO","postal_code":"631101003","country_code":"US","street_2":"DIV IM BONE MARROW TRANSPLANT","phone":"3144548304","fax":"3144545902"},{"purpose":"MAILING","street_1":"PO BOX 7412011","city":"CHICAGO","state":"IL","postal_code":"606742011","country_code":"US","phone":"3144548304","fax":"3144545902"}],"license":{"state":"MO","number":"2020041309"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200092603","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210218001393","type_code":"14-90","type_desc":"PRACTITIONER - MEDICAL ONCOLOGY","state":"MO","pac_id":"9638451826"}]},"enumeration_date":"2013-05-03","last_updated":"2025-04-15","_meta":{"source":"NPPES","snapshot_date":"2025-04-15","doc_url":"https://findmynpi.com/api"}}