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

KENNETH WAYNE BUSH, PA

Active

Physician Assistant · CLEMMONS, NC

Registration Details

NPI Number
1528020682
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2006 (20.047725295736 yrs)
Last Updated
Jun 23, 2025
License
103038 (NC)

Practice Information

Address
2311 LEWISVILLE CLEMMONS RD
CLEMMONS, NC, 270128905
Browse NC providers · Browse ZIP 27012
Phone
3367162255
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CLEMMONS, NC

Name Credential NPI
PAUL KENT DAVIS PA-C 1750384343
MRS. DANIELLE MARGUERITE CARTER ADKINS PA-C 1992787501
TERRY MICHAEL DEAKLE PA 1326028382
CAMILLA ELIZABETH HELTON PA 1922070747
MR. GLEN EDWARD COMBS P.A. 1235102211
HUGH AVERY WHEELER PA-C 1497729230
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.