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

Mr. Kevin Louis Kruenegel, PA-C

Individual provider Physician Assistant · NPI 1992022693

Mr. Kevin Louis Kruenegel, PA-C is a Physician Assistant in Medford, Oregon. Qualified in 2010, 16 years ago. Practices with Asante Physician Partners, a 225-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Oregon.

Years since qualifying
16
Licensed in
GA, OR
In the registry since
2010
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

555 Black Oak Dr
Medford, OR 97504-8447
Phone: (541) 789-8176
Fax: (541) 789-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11700 Mercy Blvd, Savannah, GA 31419-1753 — (912) 927-6270

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 196530 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 005820 (GA)

Record details

NPI number1992022693
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 21, 2010
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Medford