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

Individual provider Physician Assistant · NPI 1821513136

Kevin Kornowski, PA-C is a Physician Assistant in Grafton, Wisconsin. Qualified in 2017, 9 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
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

975 Port Washington Rd
Grafton, WI 53024-9201
Phone: (262) 329-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5300 Memorial Dr, Two Rivers, WI 54241-3923 — (920) 793-6550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4150 (WI)

Record details

NPI number1821513136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Grafton