Kenneth Dean Richard Dabolt, RPA-C

NPI #1881189116 in Springville, New York

Provider Information

NPI Number
1881189116
Entity Type
Individual
Name
Kenneth Dean Richard Dabolt, RPA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
RPA-C
Enumeration Date
Jun 28, 2018
Last Updated
Jun 28, 2018

Practice Location

Address
224 E MAIN ST
ZIP Code
14141-1443
Phone
(716) 592-8140

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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