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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689349474

Kenzie Renee Griffin is a Physician Assistant in West Burlington, Iowa. Qualified in 2022, 4 years ago. Practices with Southeast Iowa Regional Medical Center Inc, a 258-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1221 S Gear Ave
West Burlington, IA 52655-1679
Phone: (319) 768-1000
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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
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689349474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2021
Last updated in NPPESOctober 24, 2022
Certification dateSeptember 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeast Iowa Regional Medical Center Inc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Burlington