Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth W Coward II, PA-C

Individual provider Physician Assistant · NPI 1699446815

Mr. Kenneth W Coward II, PA-C is a Physician Assistant in Medford, Oregon. Qualified in 2020, 6 years ago. Practices with La Clinica Del Valle Family Health Care Center Inc, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
6
Licensed in
ID, OR
In the registry since
2021
Specialties on file
2
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

1307 W Main St
Medford, OR 97501-2936
Phone: (541) 535-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4940 Hamrick Rd, Central Point, OR 97502-3072 — (541) 535-6239

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA208605 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA-2012 (ID)

Record details

NPI number1699446815
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice La Clinica Del Valle Family Health Care Center Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Medford