Individual provider · Type 1 NPI

Kennedy Kristine Bashir Iwas, PA-C

Physician Assistant · Rochester Hills, MI

NPI number 1407629587 Active

Practice location

2177 Wentworth Dr
Rochester Hills, MI 48307-4283

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601013758 (MI)

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 1407629587

Kennedy Kristine Bashir Iwas, PA-C's National Provider Identifier is 1407629587, issued on Nov 1, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rochester Hills, MI. The record was last updated on Jan 15, 2026.