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

Kathryn Eloise Kennedy, PA-C

Individual provider Physician Assistant · NPI 1952052433

Kathryn Eloise Kennedy, PA-C is a Physician Assistant in Mission Viejo, California. Qualified in 2022, 4 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
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

26800 Crown Valley Pkwy Ste 205
Mission Viejo, CA 92691-6384
Phone: (949) 364-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31251 Via Fajita, San Juan Capistrano, CA 92675-5506 — (949) 939-6473

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61657 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 61657 (CA)

Record details

NPI number1952052433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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 Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Mission Viejo