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

Individual provider Physician Assistant · NPI 1265777544

Kimberly Kannenberg, PA-C is a Physician Assistant in Delray Beach, Florida. Practices as a sole proprietor. Licensed in Florida and Texas.

Licensed in
FL, TX
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

1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone: (561) 330-9363
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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 9106163 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 00269 (TX)

Record details

NPI number1265777544
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 28, 2012
Last updated in NPPESJune 10, 2013

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