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

Laryn C Kenwabikise, PA-C

Individual provider Surgical Physician Assistant · NPI 1760293641

Laryn C Kenwabikise, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2024, 2 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
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

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone: (231) 392-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1105 Sixth St, Traverse City, MI 49684-2386 — (231) 392-0640

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601012983 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601012983 (MI)

Record details

NPI number1760293641
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Traverse City