Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Andrew Kellenberger, PA, RD

Individual provider Physician Assistant · NPI 1073632410

David Andrew Kellenberger, PA, RD is a Physician Assistant in Port Charlotte, Florida. Graduated from University of Florida College of Medicine in 2005, 21 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
21
Trained at
University of Florida College of Medicine
Licensed in
FL, TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2343 Aaron St
Port Charlotte, FL 33952-5305
Phone: (855) 979-5700
Fax: (855) 979-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 618 N Main St, Corsicana, TX 75110-3028 — (903) 874-6731

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120088 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA04525 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence PA9120088 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence DT81736 (TX)

Record details

NPI number1073632410
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , RD
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Port Charlotte