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

KENNETH DAVID KINNAN, PA-C

Active

Physician 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 200
LEES SUMMIT, MO, 64086
Browse 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.