Mr. Kenny Iman, PAC
Mr. Kenny Iman, PAC is a Physician Assistant in Salisbury, Maryland. Qualified in 2004, 22 years ago. Practices with Ydiprmc, LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.
- Years since qualifying
- 22
- Licensed in
- DE, MD
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
111 Davis StSalisbury, MD 21804-5032
Phone: (410) 749-4154
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
| Specialist (primary) | Taxonomy 174400000X · Licence C0003072 (MD) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence C50000664 (DE) |
Record details
| NPI number | 1295801173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | November 24, 2006 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | 4014 Oakland School Rd, Salisbury, MD 21804-2715 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Ydiprmc, Llc — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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