Kevin J Bolland is a Medical in Lakewood, Washington. Kevin J Bolland practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin J Bolland is 1962543033. The last update date is 2021-12-03.
Kevin J Bolland's current location address is 10828 Gravelly Lake Dr Sw, Lakewood, Washington. You can contact this provider via phone number 3604366594. The mailing address for Kevin J Bolland is 10828 Gravelly Lake Dr Sw, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Bolland |
|---|---|
| Address | 10828 Gravelly Lake Dr Sw, Lakewood, Washington |
| Phone Number | 3604366594 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1962543033 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 10828 Gravelly Lake Dr Sw |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984991334 |
| Phone Number | 3604366594 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10003177 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188614 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the unique identification code assigned to Kevin J Bolland by the Centers for Medicare & Medicaid Services?
The Kevin J Bolland has been issued the NPI (National Provider Identifier) 1962543033. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kevin J Bolland?
The Kevin J Bolland is physically situated at 10828 Gravelly Lake Dr Sw, in the city of Lakewood, state of WA, with the postal code 984991334.
What is the area of specialization for Kevin J Bolland, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin J Bolland is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Kevin J Bolland receive its 1962543033 assignment from the Centers for Medicare & Medicaid Services?
The Kevin J Bolland was assigned its 1962543033 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date was the information pertaining to Kevin J Bolland, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin J Bolland, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-03.
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