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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERALD W CLEVENGER, PAC

Active

GERALD W CLEVENGER, PAC is a Physician Assistant healthcare provider located in TROY, Kansas. NPI 1083610646 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TROY, KS

Registration Details

NPI Number
1083610646
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2005 (20.939736892811 yrs)
Last Updated
Feb 9, 2026
License
1500117 (KS)

Practice Information

Address
311 W. LOCUST ST.
TROY, KS, 66087
Browse KS providers · Browse ZIP 66087
Phone
7859853504
Fax
7859853813
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.