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

Kristyn Boza Bolton, PA

Individual provider Physician Assistant · NPI 1316517774

Kristyn Boza Bolton, PA is a Physician Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

67 President St
Charleston, SC 29425-4238
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4425 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1316517774
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024

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