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

Kenneth H Warner, PA-C

Individual provider Physician Assistant · NPI 1417973231

Kenneth H Warner, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2004, 22 years ago. Practices with West Front Primary Care PLLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
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

4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Phone: (231) 935-8930
Fax: (231) 935-8811
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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 5601004373 (MI)

Record details

NPI number1417973231
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice West Front Primary Care Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Traverse City