Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Henry Sloan Kinnebrew IV, PA-C

Individual provider Surgical Physician Assistant · NPI 1306247267

Mr. Henry Sloan Kinnebrew IV, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2014, 12 years ago. Practices with Cardiothoracic and Vascular Surgeons, PA, a 34-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
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

1010 W 40th St
Austin, TX 78756-4010
Phone: (512) 459-8753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1306247267
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 10, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cardiothoracic And Vascular Surgeons,Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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