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

Kennedy Lewis

Individual provider Physician Assistant · NPI 1740968239

Kennedy Lewis is a Physician Assistant in Cleveland, Ohio. Qualified in 2024, 2 years ago. Practices with Privia Care Center LLC, a 287-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023

Practice location Address checks out

9501 Euclid Ave
Cleveland, OH 44106-4711
Phone: (216) 368-2000
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 number1740968239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address9501 Euclid Ave, Cleveland, OH 44106-4711

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Privia Care Center Llc — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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