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

Kenneth V Busby, BS/BA

Individual provider Physician Assistant · NPI 1508830423

Kenneth V Busby, BS/BA is a Physician Assistant in Walla Walla, Washington. Qualified in 1998, 28 years ago. Practices with Privia Medical Group Washington PLLC, a 72-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
28
Licensed in
WA
In the registry since
2006

Practice location Address checks out

55 W Tietan St
Walla Walla, WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 525-4691
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004990 (WA)

Record details

NPI number1508830423
Entity typeIndividual (Type 1)
GenderMale
Credentials BS/BA
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESNovember 27, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Privia Medical Group Washington Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walla Walla