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

Matthew M Kenick, PAC

Individual provider Physician Assistant · NPI 1922051614

Matthew M Kenick, PAC is a Physician Assistant in Fort Lauderdale, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1625 SE 3rd Ave Ste 300
Fort Lauderdale, FL 33316-2521
Phone: (954) 355-4665
Fax: (954) 355-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 Se 3rd Ave Ste 355, Fort Lauderdale, FL 33316-2521 — (954) 355-5001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3593 (FL)

Record details

NPI number1922051614
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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