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

Kenny Wang, PA

Individual provider Physician Assistant · NPI 1366375768

Kenny Wang, PA is a Physician Assistant in Smithtown, New York. Registered with an NPI since 2026.

In the registry since
2026
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

50 New York Ave # 25A
Smithtown, NY 11787-3448
Phone: (904) 372-3943
Fax: (904) 212-1618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366375768
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address7751 Belfort Pkwy Ste 120, Jacksonville, FL 32256-6921

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