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

Individual provider Medical Physician Assistant · NPI 1588853675

Mr. Kevin John Wansor, PA-C is a Medical Physician Assistant in Upland, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

30 Medical Center Blvd Ste 303 Clinical Renal Associates Ltd
Upland, PA 19013-3995
Phone: (610) 872-8501
Fax: (610) 872-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA053066 (PA)

Record details

NPI number1588853675
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2007
Last updated in NPPESDecember 20, 2013