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

Individual provider Medical Physician Assistant · NPI 1952664799

Kevin Ryan Free, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2012, 14 years ago. Practices with Virginia Nephrology Group LLP, a 15-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
14
Licensed in
MD, VA
In the registry since
2012
Specialties on file
2
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

3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Phone: (703) 246-9246
Fax: (703) 246-9257
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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 · Licence 0110009144 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C04779 (MD)

Record details

NPI number1952664799
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Virginia Nephrology Group Llp — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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