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Kevin J. Bolland, PA-C

Physician Assistant · Lakewood, WA

UnclaimedPA-CNPI 1962543033
Primary taxonomy
363A00000X
Enumerated
2007-02-09
Practice location
Lakewood, WA
Last NPPES update
2021-12-03

State licenses

  • WA · Physician assistant · NPPES self-reportedListed on NPI record
  • WA · Physician assistant · Osteopathic Physician Assistant LicenseInactive
  • WA · Physician assistant · Physician Assistant LicenseActivethrough 2027

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.