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

Mr. Kenneth Douglas Lake, PA-C

Individual provider Physician Assistant · NPI 1518981927

Mr. Kenneth Douglas Lake, PA-C is a Physician Assistant in Asheboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

300 Mack Rd
Asheboro, NC 27205-1066
Phone: (336) 625-1172
Fax: (336) 625-6434
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101208 (NC)

Record details

NPI number1518981927
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESFebruary 4, 2019

Other providers in Asheboro