Kathie E Bollenbach, MMS, PA-C
Physician Assistant in Providence, Rhode Island
1689677213- Practice location
- 825 Chalkstone Ave, Providence, RI 02908-4728
- Phone
- 401-456-2000
- Fax
- —
- Last updated
- November 11, 2026
Kathie E Bollenbach is a Physician Assistant based in Providence, RI. Kathie E Bollenbach practices in Providence, RI and has the professional credentials of MMS, PA-C. The NPI Number for Kathie E Bollenbach is 1689677213 and holds a License No. 001004586 (NC). The current practice location address for Kathie E Bollenbach is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2000.
Provider Profile Details
- NPI Number
- 1689677213
- Provider Name
- Kathie E Bollenbach
- Credential
- MMS, PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 825 Chalkstone Ave, Providence, RI 02908-4728
- Phone Number
- 401-456-2000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Kathie Ella Huncosky, MMS, PA-C (Former Name)
- Provider Enumeration Date
- May 27, 2005
- Last Update Date
- November 11, 2026
- Certification Date
- November 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4728
- Phone Number
- 401-456-2000
Provider Business Mailing Address Details
- Address
- 1 Sayago Ln
Hot Springs Village, AR 71909-3330 - City
- Hot Springs Village
- State
- AR
- Zip
- 71909-3330
- Phone Number
- 252-370-7480
License Information
- License Number (1)
- 001004586
- License State (1)
- NC
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- MA066417
- License State (2)
- PA
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 1233-023
- License State (3)
- WI
- Taxonomy (3)
- Physician Assistant · 363A00000X
- License Number (4)
- PA01997
- License State (4)
- RI
- Taxonomy (4)
- Physician Assistant · 363A00000X
- License Number (5)
- PA20250067
- License State (5)
- NM
- Taxonomy (5)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathie E Bollenbach, MMS, PA-C?
The NPI number of Kathie E Bollenbach, MMS, PA-C is 1689677213. It was assigned on May 27, 2005 and is currently active in the NPPES registry.
What is the specialty of Kathie E Bollenbach, MMS, PA-C?
Kathie E Bollenbach, MMS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 001004586.
Where does Kathie E Bollenbach, MMS, PA-C practice?
The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689677213 directly on the NPPES registry website.