Individual provider · Type 1 NPI

Kevin Walter Wenner, PA-C

Surgical Physician Assistant · Brunswick, ME

NPI number 1831687300 Active

Practice location

430 Bath Rd Ste 102
Brunswick, ME 04011-2656

Fax (207) 618-5668

Other practice locations

  • 319 Longwood Ave, Boston, MA 02115-5728 · (617) 355-3501

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA6455 (MA)
Physician Assistant 363A00000XPA2143 (ME)
Medical Physician Assistant 363AM0700XPA6455 (MA)
Surgical Physician Assistant 363AS0400XPA6455 (MA)
Surgical Physician Assistant Primary 363AS0400XPA2143 (ME)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1831687300

Kevin Walter Wenner, PA-C's National Provider Identifier is 1831687300, issued on Apr 30, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brunswick, ME. The record was last updated on May 22, 2025.