Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN RAYMOND KENNEY, PHYSICIAN ASSISTANT
ActiveMR. ETHAN RAYMOND KENNEY, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1346870821 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARLOTTE, NC
Registration Details
- NPI Number
- 1346870821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2020 (6.5447921237424 yrs)
- Last Updated
- Feb 12, 2024
- License
-
0010-09714 (NC)
Practice Information
- Address
-
15830 BALLANTYNE MEDICAL PL STE 275CHARLOTTE, NC, 282774791Browse NC providers · Browse ZIP 28277
- Phone
- 9803028659
- Fax
- 9803028674
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER MARIE HULL | PA-C | 1437154093 |
| MS. JENNIFER ANN FARRES | PA-C | 1598763054 |
| LAWRENCE HENRY BRACCIA | PA-C | 1700885514 |
| MR. JONATHAN ROBERT BALTZELL | PA-C | 1457350258 |
| KEVIN ROLANDO WILLIAMS | PA | 1053312082 |
| MRS. KELLY L. STAFFORD | PA-C | 1184626806 |
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.