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

Individual provider Physician Assistant · NPI 1568423077

Kenneth U Mbachu, PA is a Physician Assistant in Baltimore, Maryland. Qualified in 2001, 25 years ago. Practices with Providence Pain Management Center, PA, a 5-clinician group and offers telehealth. Licensed in Maryland.

Years since qualifying
25
Licensed in
MD
In the registry since
2006
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

900 Caton Ave
Baltimore, MD 21229-5201
Phone: (410) 368-2414
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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 C0002548 (MD)

Record details

NPI number1568423077
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2006
Last updated in NPPESSeptember 16, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Providence Pain Management Center, P.A. — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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