Individual provider · Type 1 NPI

Kenneth L. Pardoe, PA

Physician Assistant · Glen Burnie, MD

NPI number 1861430209 Active

Practice location

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904

Fax (443) 577-0288

Mailing address

PO Box 759047
Baltimore, MD 21275-9047

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0000884 (MD)

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 1861430209

Kenneth L. Pardoe, PA's National Provider Identifier is 1861430209, issued on Jun 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glen Burnie, MD. The record was last updated on Oct 25, 2012.