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

Mr. Kevin J Bolland, PA-C

Individual provider Medical Physician Assistant · NPI 1962543033

Mr. Kevin J Bolland, PA-C is a Medical Physician Assistant in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10828 Gravelly Lake Dr SW
Lakewood, WA 98499-1334
Phone: (360) 436-6594
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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 PA10003177 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10003177 (WA)

Record details

NPI number1962543033
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

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