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

Individual provider Physician Assistant · NPI 1730062779

Mr. Alex Michael McKennon, PA-C is a Physician Assistant in Lowell, Massachusetts. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
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

295 Varnum Ave
Lowell, MA 01854-2134
Phone: (978) 937-6439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 85 Herrick St, Beverly, MA 01915-1790 — (978) 922-3000
  • 25 Highland Ave, Newburyport, MA 01950-3867 — (978) 463-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101999 (MA)

Record details

NPI number1730062779
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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