Individual provider · Type 1 NPI

Kendall Lea Shirey, PA-C

Physician Assistant · Fort Worth, TX

NPI number 1639649247 Active

Practice location

9509 N Beach St Ste 101
Fort Worth, TX 76244-6399

Call (817) 741-4347 Map

Fax (817) 741-4483

Mailing address

PO Box 35629
Dallas, TX 75235-0629

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA12442 (TX)

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 1639649247

Kendall Lea Shirey, PA-C's National Provider Identifier is 1639649247, issued on Nov 27, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 11, 2025.