National Provider Identifier
Kenneth Dean Richard Dabolt, RPA-C
Kenneth Dean Richard Dabolt, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Springville, NY and a listed phone number of (716) 592-8140.
Profile Overview
- NPI
- 1881189116
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 28, 2018
- Last Updated
- June 28, 2018
Practice Location
- 224 E Main St
- Springville, NY 14141-1443
Phone: (716) 592-8140
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1881189116
- Entity Type
- Individual
- Last Name
- Dabolt
- First Name
- Kenneth
- Middle Name
- Dean Richard
- Credential
- RPA-C
- Mailing Street Address
- 224 E Main St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-1443
- Mailing Country
- US
- Mailing Phone
- (716) 592-8140
- Practice Street Address
- 224 E Main St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1443
- Practice Country
- US
- Practice Phone
- (716) 592-8140
- Enumeration Date
- June 28, 2018
- Last Updated
- June 28, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)