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

MR. KEVIN J BOLLAND, PA-C

Active

MR. KEVIN J BOLLAND, PA-C is a Physician Assistant healthcare provider located in LAKEWOOD, Washington. NPI 1962543033 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKEWOOD, WA

Registration Details

NPI Number
1962543033
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2007 (19.480184858633 yrs)
Last Updated
Dec 3, 2021
Licenses
PA10003177 (WA)
PA10003177 (WA)

Practice Information

Address
10828 GRAVELLY LAKE DR SW
LAKEWOOD, WA, 984991334
Browse WA providers · Browse ZIP 98499
Phone
3604366594
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LAKEWOOD, WA

Name Credential NPI
MR. THOMAS WAYNE GAMMILL PA-C 1760459333
GEORGE A PRUDDEN PA-C 1356310064
JOSEPH D. FERENCE PA-C 1255387783
MR. PHILLIP DARBY PA-C 1023037868
ROBERT LEO TESTA PA-C 1356443923
ALEX E ANGELES PAC 1912002031
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.