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

Michael Kenny, PA

Individual provider Physician Assistant · NPI 1467988451

Michael Kenny, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2017, 9 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
9
Licensed in
FL, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8350 Riverwalk Park Blvd Ste 1
Fort Myers, FL 33919-8759
Phone: (239) 343-9696
Fax: (239) 343-4198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12150 30 Mile Rd, Washington Township, MI 48095-2035 — (586) 336-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121142 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5601008191 (MI)

Record details

NPI number1467988451
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Myers