Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Fenner, PA-C

Individual provider Physician Assistant · NPI 1952858797

Kyle Fenner, PA-C is a Physician Assistant in Wilmington, Ohio. Qualified in 2016, 10 years ago. Practices with P.r. Care, Ltd, an 8-clinician group.

Years since qualifying
10
In the registry since
2016
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

610 W Main St
Wilmington, OH 45177-2125
Phone: (937) 382-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952858797
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2016
Last updated in NPPESSeptember 9, 2016
Mailing address610 W Main St, Wilmington, OH 45177-2125

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice P.R. Care, Ltd — 8 clinicians
Accepts Medicare assignment Not indicated

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