Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNWORTH EATON II, P.A.
Active Sole ProprietorMR. KENNWORTH EATON II, P.A. is a Physician Assistant healthcare provider located in HAMPTON BAYS, New York. NPI 1891984548 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HAMPTON BAYS, NY
Registration Details
- NPI Number
- 1891984548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2007 (18.861010472598 yrs)
- Last Updated
- Jun 7, 2021
- License
-
006619 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 W MONTAUK HWYHAMPTON BAYS, NY, 119463510Browse NY providers · Browse ZIP 11946
- Phone
- 6317284500
- Fax
- 6317284564
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HAMPTON BAYS, NY
| Name | Credential | NPI |
|---|---|---|
| JENNIFER ELAINE JOLY | PA | 1659434652 |
| DARA ADAMES | — | 1336795913 |
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.