Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Dean Richard Dabolt, RPA-C

Individual provider Physician Assistant · NPI 1881189116

Kenneth Dean Richard Dabolt, RPA-C is a Physician Assistant in Springville, New York. Qualified in 2018, 8 years ago. Practices with Bertrand Chaffee Hospital, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018

Practice location Address checks out

224 E Main St
Springville, NY 14141-1443
Phone: (716) 592-8140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022107-1 (NY)

Record details

NPI number1881189116
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bertrand Chaffee Hospital — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Springville