BENNJAMIN L KENNAH PA-C PA-C NPI 1902271547

NPI Information

Bennjamin L Kennah Pa-c, PA-C is a surgical physician assistant in Anchorage, AK with 9 years of experience. Bennjamin L Kennah Pa-c, PA-C NPI is 1902271547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

2741 DEBARR RD STE C214
ANCHORAGE, AK
ZIP 99508-978
Phone: (907) 644-6055
Fax: (907) 644-4885

The NPI 1902271547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2015 and was last updated on 5/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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