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

Kyle Daniel Bomboy, PAC

Individual provider Physician Assistant · NPI 1174041305

Kyle Daniel Bomboy, PAC is a Physician Assistant in York, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2350 Freedom Way Ste 202
York, PA 17402-8202
Phone: (717) 851-2465
Fax: (717) 741-3043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 S George St Ste 202, York, PA 17403-3676 — (717) 851-2465

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174041305
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESMarch 17, 2018
Mailing address3421 Concord Rd, York, PA 17402-9001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in York