Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bianca Nicole Kennel, PA-C

Individual provider Physician Assistant · NPI 1609459080

Bianca Nicole Kennel, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Coppel Medical Enterprise LLC, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2809 W Charleston Blvd # 150
Las Vegas, NV 89102-1998
Phone: (702) 476-9999
Fax: (702) 946-1343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2718

Record details

NPI number1609459080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 3, 2021
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coppel Medical Enterprise Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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