Individual provider · Type 1 NPI

Kevin Michael Peno, PA-C

Physician Assistant · State College, PA

NPI number 1104430503 Active

Practice location

1951 Pine Hall Rd Ste 225
State College, PA 16801-5107

Call (814) 237-0001 Map

Mailing address

823 Thompson St
Lemont, PA 16851-9068

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA061829 (PA)

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 1104430503

Kevin Michael Peno, PA-C's National Provider Identifier is 1104430503, issued on Sep 2, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in State College, PA. The record was last updated on Aug 12, 2026.