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

Elan Kennedy

Individual provider Surgical Physician Assistant · NPI 1528499910

Elan Kennedy is a Physician Assistant in Portland, Oregon. Graduated from Philadelphia College of Osteopathic Medicine in 2013, 13 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
13
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
VT
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd Mail Code L353 OHSU Division Of Cardiothoracic Surgery
Portland, OR 97239
Phone: (503) 494-7820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Colchester Ave, Burlington, VT 05401-1473 — (802) 847-0000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 055-0031496 (VT)

Record details

NPI number1528499910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2013
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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