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

Mr. Kevin Lamar Redus, PA-C

Individual provider Medical Physician Assistant · NPI 1164425633

Mr. Kevin Lamar Redus, PA-C is a Physician Assistant in Wickenburg, Arizona. Graduated from University of Nebraska College of Medicine in 2006, 20 years ago. Practices with Community Hospital Association Inc, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Trained at
University of Nebraska College of Medicine
Licensed in
AZ
In the registry since
2005
Specialties on file
2
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 →

Practice location Address checks out

520 Rose Ln
Wickenburg, AZ 85390-1447
Phone: (928) 684-5421
Fax: (289) 684-7457
Show map & directions

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

Additional practice locations (1)

  • 523 Rose Ln, Wickenburg, AZ 85390-1448 — (928) 668-1803

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2477 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2477 (AZ)

Record details

NPI number1164425633
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 27, 2005
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Community Hospital Association Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wickenburg