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.
NPI Number: 1023014941
Address: 12930 Ventura Blvd, Studio City, CA
NPI Number: 1578569323
Address: 833 N Hairston Rd, Stone Mountain, GA
NPI Number: 1669479077
Address: 203 Salisbury St, Wadesboro, NC
NPI Number: 1255338570
Address: 203 Salisbury St, Wadesboro, NC
NPI Number: 1598764508
Address: 2150 Pennsylvania Ave Nw, Washington, DC
NPI Number: 1427059716
Address: 2201 Forest Ln, Garland, TX