Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Anne Petruny, PA-C

Individual provider Medical Physician Assistant · NPI 1154962413

Kendra Anne Petruny, PA-C is a Physician Assistant in Nashville, Tennessee. Graduated from Temple University School of Medicine in 2019, 7 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Tennessee.

Years since qualifying
7
Trained at
Temple University School of Medicine
Licensed in
PA, TN
In the registry since
2019
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

3601 The Vanderbilt Clinic
Nashville, TN 37232-2442
Phone: (615) 322-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7600 Central Ave, Philadelphia, PA 19111-2442 — (215) 728-2276

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6010 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA061177 (PA)

Record details

NPI number1154962413
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 7, 2019
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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