Active NPI
Kenneth Boyd Tolman, PA-C
- Physician Assistant
- Kittery, ME
National Provider Identifier
1861649147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA001139
- Practice address
- 35 Walker St
Kittery, ME 03904-1727 - Phone
- (207) 439-4430
- Fax
- (207) 439-0968
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA001139 | ME | Primary |
Addresses
Primary practice location
35 Walker St
Kittery, ME 03904-1727
Mailing address
35 Walker St
Kittery, ME 03904-1727
Phone (207) 439-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA001139 | ME | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1861649147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WALKER ST",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041727",
"telephone_number": "207-439-4430",
"fax_number": "207-439-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WALKER ST",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041727",
"telephone_number": "207-439-4430",
"fax_number": "207-439-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLMAN",
"first_name": "KENNETH",
"middle_name": "BOYD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.