Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN WALTER WENNER, PA-C
ActiveMR. KEVIN WALTER WENNER, PA-C is a Surgical Physician Assistant healthcare provider located in BRUNSWICK, Maine. NPI 1831687300 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BRUNSWICK, ME
Registration Details
- NPI Number
- 1831687300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2018 (8.2504214703464 yrs)
- Last Updated
- May 22, 2025
- Licenses
-
PA6455 (MA)PA2143 (ME)PA6455 (MA)PA6455 (MA)PA2143 (ME)
Practice Information
- Address
-
430 BATH RD STE 102BRUNSWICK, ME, 040112656Browse ME providers · Browse ZIP 04011
- Phone
- 2074420350
- Fax
- 2076185668
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in BRUNSWICK, ME
| Name | Credential | NPI |
|---|---|---|
| CALLIE ORAE MCMAHON | PAC | 1003867086 |
| SCOTT H WALTON | PAC | 1104846237 |
| SHAWN MCMAHON | PHYSICIAN ASSISTANT | 1083786552 |
| ALICIA MELLO CAIAZZI | PA | 1346624269 |
| TATYANA HEER | PA | 1215405733 |
| MR. DONNA VICTORIA RODRIGUEZ | PA | 1669018529 |
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.