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

Individual provider Medical Physician Assistant · NPI 1457635278

Kimberly Kenehan, PA-C is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Lackawanna Valley Dermatology Associates Limited, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2011
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

150 Mundy St Mac IV Bldg
Wilkes Barre, PA 18702-6830
Phone: (570) 824-0930
Fax: (570) 824-7755
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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 MA055239 (PA)

Record details

NPI number1457635278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2011
Last updated in NPPESJanuary 13, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lackawanna Valley Dermatology Associates Limited — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilkes Barre