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

KENDALL CLEVENGER, PA

Active Sole Proprietor

KENDALL CLEVENGER, PA is a Physician Assistant healthcare provider located in PINE CITY, Minnesota. NPI 1154654218 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PINE CITY, MN

Registration Details

NPI Number
1154654218
Provider Type
Individual
Gender
Male
NPI Issued
Sep 8, 2009 (16.90992220835 yrs)
Last Updated
Sep 8, 2009
License
9635 (MN)
Sole Proprietor
Yes

Practice Information

Address
510 2ND ST SE
PINE CITY, MN, 550631706
Browse MN providers · Browse ZIP 55063
Phone
3206296721
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PINE CITY, MN

Name Credential NPI
SHERYL ELAINE ANDERSON PA-C 1295108421
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.