Individual provider · Type 1 NPI

Kenneth Wayne Bush, PA

Physician Assistant · Clemmons, NC

NPI number 1528020682 Active

Practice location

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905

Call (336) 716-2255 Map

Mailing address

PO Box 602658
Charlotte, NC 28260-2658

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103038 (NC)

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 1528020682

Kenneth Wayne Bush, PA's National Provider Identifier is 1528020682, issued on Apr 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clemmons, NC. The record was last updated on Jun 23, 2025.