Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DAVID KINNAN, PA-C
ActivePhysician Assistant · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1891856159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.370430280019 yrs)
- Last Updated
- Apr 9, 2019
- Licenses
-
15-00968 (KS)2008021981 (MO)15-00968 (KS)2008021981 (MO)
Practice Information
- Address
-
120 NE SAINT LUKES BLVD STE 200LEES SUMMIT, MO, 64086Browse MO providers · Browse ZIP 64086
- Phone
- 8162464302
- Fax
- 8162469493
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| DAVID EUGENE FELLOWS | PA-C | 1427001742 |
| JUDY KY | PAC | 1942309463 |
| MR. ANDREW BERG | PA-C | 1548383789 |
| MRS. SARAH L COMEGYS | PA-C | 1831312453 |
| MRS. KRISTA BARNES | PA-C | 1073744751 |
| ELIZABETH VASQUEZ | P.A. | 1316264161 |
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.