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

Kendall Bottrell, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1992690143

Kendall Bottrell, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992690143
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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