Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenna Hogue Nettles, PA-C, ATC

Individual provider Physician Assistant · NPI 1992076467

Kenna Hogue Nettles, PA-C, ATC is a Physician Assistant in Mobile, Alabama. Qualified in 2011, 15 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
15
Licensed in
AL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3719 Dauphin St
Mobile, AL 36608-1753
Phone: (251) 460-5333
Fax: (251) 460-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA788 (AL)

Record details

NPI number1992076467
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedJanuary 16, 2012
Last updated in NPPESJanuary 16, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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