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

Kenneth Aron Roberts, PA

Individual provider Physician Assistant · NPI 1700625092

Kenneth Aron Roberts, PA is a Physician Assistant in Kingsport, Tennessee. Qualified in 2024, 2 years ago. Practices with Wellmont Cardiology Services, a 138-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
2
Licensed in
TN, VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone: (423) 230-5000
Fax: (423) 390-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1705 W Lakeview Dr Apt 2, Johnson City, TN 37601-2168 — (423) 507-4516
  • 2033 Meadowview Ln Ste 110, Kingsport, TN 37660-7569 — (423) 230-5000
  • 1490 Park Ave Nw Ste 3c, Norton, VA 24273-1631 — (276) 679-8890
  • 127 Health Care Dr Ste 3, Pennington Gap, VA 24277-2853 — (276) 546-5212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6037 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0110011457 (VA)

Record details

NPI number1700625092
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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 Wellmont Cardiology Services — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kingsport