Individual provider · Type 1 NPI

Javia Kennedy, PA-C

Physician Assistant · Bastrop, LA

NPI number 1093640187 Active

Practice location

9147 Redwood Dr
Bastrop, LA 71220-4809

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093640187

Javia Kennedy, PA-C's National Provider Identifier is 1093640187, issued on Jun 17, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bastrop, LA. The record was last updated on Jun 17, 2026.