Individual provider · Type 1 NPI

Paola Jetzabella Kennah, PA-C

Physician Assistant · Fleming Island, FL

NPI number 1972030765 Active

Practice location

2349 Village Square Pkwy Ste 110-111
Fleming Island, FL 32003-6355

Fax (904) 385-2454

Mailing address

23343 NW County Road 236
High Springs, FL 32643-9669

Other practice locations

  • 2925 Debarr Rd Ste 240, Anchorage, AK 99508-2959 · (907) 339-4650
  • 4311 11th Ave NE Ste 200, Seattle, WA 98105 · (206) 616-4001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9117136 (FL)
Medical Physician Assistant 363AM0700X139211 (AK)
Physician Assistant Primary 363A00000XPA9117136 (FL)

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…

5 other providers at this address

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About NPI 1972030765

Paola Jetzabella Kennah, PA-C's National Provider Identifier is 1972030765, issued on May 11, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fleming Island, FL. The record was last updated on Jul 27, 2023.