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KENNETH BOLTZ
NPI 1619804754
Technician - Personal Care Attendant in Cross Lanes, WV

Active since May 05, 2026
5512 BIG TYLER RD, CROSS LANES, WV 25313(304) 766-9830 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Boltz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH BOLTZ (NPI 1619804754) is an individual personal care attendant in Cross Lanes, West Virginia and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1619804754
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameKENNETH BOLTZ
Location Address5512 BIG TYLER RDCross Lanes, WV 25313-1304
Mailing Address5512 Big Tyler RdCross Lanes, WV 25313-1304 · (304) 766-9830
Phone(304) 766-9830
Sole ProprietorNo
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1619804754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
5512 BIG TYLER RD, Cross Lanes, WV 25313
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY CLENDENIN
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CHARLESTON, WV 25313
Kanawha County (304) 766-9830
TIA MARIE THROCKMORTON
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
CONNIE SADLER
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
CALEY HASKINS
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CHARLESTON, WV 25313
Kanawha County (304) 766-9830
RORY CARROLL
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
JODI ROBERTS
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
ALYSSA SIZEMORE
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
TRAVIS JOHNSON
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Boltz's NPI number?

The NPI number for Kenneth Boltz is 1619804754. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Kenneth Boltz located?

Kenneth Boltz practices at 5512 Big Tyler Rd, Cross Lanes, WV 25313. The listed phone number is (304) 766-9830.

What is Kenneth Boltz's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kenneth Boltz was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.