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

Individual provider Physician Assistant · NPI 1396737706

Vickie Boll, PA-C is a Physician Assistant in Kennewick, Washington. Licensed in Idaho, Nevada and Washington. Registered with an NPI since 2005.

Licensed in
ID, NV, WA
In the registry since
2005
Specialties on file
3
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

4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone: (509) 942-2355
Fax: (509) 222-1289
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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 PA60168389 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA338 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA1392 (NV)

Record details

NPI number1396737706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESJanuary 4, 2017

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