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

Individual provider Physician Assistant · NPI 1104430503

Kevin Michael Peno, PA-C is a Physician Assistant in Danville, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Oasis Lifecare LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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

100 N Academy Ave
Danville, PA 17822-0001
Phone: (570) 271-6211
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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 MA061829 (PA)

Record details

NPI number1104430503
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Oasis Lifecare Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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