Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth J Hueftle, MSPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1063847994

Kenneth J Hueftle, MSPAS, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
NJ, PA
In the registry since
2013
Specialties on file
3
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

2301 S Broad St
Philadelphia, PA 19148-3542
Phone: (609) 680-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057501 (PA)
Medical Physician Assistant Taxonomy 363AM0700X (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA003525 (PA)

Record details

NPI number1063847994
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2013
Last updated in NPPESNovember 12, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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