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

Kenneth Michael Berry, PA-C

Individual provider Surgical Physician Assistant · NPI 1588626279

Kenneth Michael Berry, PA-C is a Surgical Physician Assistant in Hagerstown, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
Specialties on file
2
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

11110 Medical Campus Rd Ste 205
Hagerstown, MD 21742-6797
Phone: (301) 665-4950
Fax: (301) 665-4956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0002455
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0002455 (MD)

Record details

NPI number1588626279
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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