NPI 1316962863 · live from the CMS NPI Registry
Emily Rebecca Bolling, PA-C
Physician Assistant in South Charleston, WV. National Provider Identifier 1316962863, active.
NPI record
| NPI | 1316962863 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309 |
| Practice phone | 304-205-7992 |
| Enumerated | July 13, 2006 |
| Last updated | March 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 1147 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.