Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kennedy Kristine Bashir Iwas, PA-C

Individual provider Physician Assistant · NPI 1407629587

Kennedy Kristine Bashir Iwas, PA-C is a Physician Assistant in Rochester Hills, Michigan. Qualified in 2025, 1 year ago. Practices with Hurley Medical Center, a 336-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2023
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

2177 Wentworth Dr
Rochester Hills, MI 48307-4283
Phone: (248) 979-1695
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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 5601013758 (MI)

Record details

NPI number1407629587
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 1, 2023
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Hurley Medical Center — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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