Kevin Bolland, PA-C
NPI 1962543033 · Physician Assistant · Lakewood, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Bolland, PA-C is a Physician Assistant provider in Lakewood, WA (NPI 1962543033).
Provider details
- NPI number
- 1962543033
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA10003177 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Frequently asked questions
- What is Kevin Bolland's NPI number?
- Kevin Bolland's National Provider Identifier (NPI) is 1962543033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Bolland's specialty?
- Kevin Bolland is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Bolland located?
- Kevin Bolland's practice location on file with NPPES is 10828 Gravelly Lake Dr Sw, Lakewood, WA 98499-1334.
- What is Kevin Bolland's phone number?
- The practice phone number listed in the NPPES registry for Kevin Bolland is (360) 436-6594.
- Does Kevin Bolland accept Medicare?
- Kevin Bolland is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Bolland's NPI active?
- Yes — Kevin Bolland's NPI (1962543033) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.