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

Mr. Kyle Judson Kenyon, PA-C

Individual provider Medical Physician Assistant · NPI 1417341405

Mr. Kyle Judson Kenyon, PA-C is a Physician Assistant in Forest City, North Carolina. Qualified in 2014, 12 years ago. Practices with Fastmed PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
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

197 Plaza Dr The Clinic At Walmart
Forest City, NC 28043-3712
Phone: (828) 286-9438
Show map & directions

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

Additional practice locations (1)

  • 825 Spartanburg Hwy Ste 17, Hendersonville, NC 28792-4770 — (828) 233-1664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05653 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-05653 (NC)

Record details

NPI number1417341405
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Forest City