NPI 1891769063 · live from the CMS NPI Registry
Timothy A Bolyard, PA C
Physician Assistant in Kingwood, WV. National Provider Identifier 1891769063, active.
NPI record
| NPI | 1891769063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 411 Morgantown St, Kingwood, WV 26537 |
| Practice phone | 304-329-0555 |
| Enumerated | February 15, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 284 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.