Individual provider · Type 1 NPI
William Kenworthey, PA
Surgical Physician Assistant · Redwood City, CA
NPI number
1083031504
Active
Practice location
905 Maple Street, 3rd Floor, Neurosurgery Clinic, Office #3095
Redwood City, CA 94063
Fax (650) 299-2677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 51396 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1083031504
William Kenworthey, PA's National Provider Identifier is 1083031504, issued on Mar 21, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Redwood City, CA. The record was last updated on May 27, 2022.