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

Kendall Leigh Clark, PA-C

Individual provider Physician Assistant · NPI 1225750995

Kendall Leigh Clark, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Practices with UNC Physicians Network LLC, a 986-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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

11200 Governor Manly Way Ste 205
Raleigh, NC 27614-7367
Phone: (919) 570-7700
Fax: (919) 570-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1536 Owen Park Ln, Fayetteville, NC 28304-3454 — (910) 307-1576

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12569 (NC)

Record details

NPI number1225750995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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 Unc Physicians Network Llc — 986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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