Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paola Jetzabella Kennah, PA-C

Individual provider Medical Physician Assistant · NPI 1972030765

Paola Jetzabella Kennah, PA-C is a Medical Physician Assistant in Fleming Island, Florida. Works from 3 locations. Licensed in Alaska and Florida.

Licensed in
AK, FL
In the registry since
2017
Specialties on file
3
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

2349 Village Square Pkwy Ste 110-111
Fleming Island, FL 32003-6355
Phone: (904) 385-2023
Fax: (904) 385-2454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2925 Debarr Rd Ste 240, Anchorage, AK 99508-2959 — (907) 339-4650
  • 4311 11th Ave Ne Ste 200, Seattle, WA 98105 — (206) 616-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117136 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9117136 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 139211 (AK)

Record details

NPI number1972030765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

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