| Mr Ethan Raymond Kenney, PHYSICIAN ASSISTANT | |
|
15830 Ballantyne Medical Pl Ste 275, Charlotte, NC 28277-4791 | |
| (980) 302-8659 | |
| (980) 302-8674 |
| Full Name | Mr Ethan Raymond Kenney |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 15830 Ballantyne Medical Pl Ste 275, Charlotte, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346870821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-09714 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Presbyterian Hospital | 1153231907 | 344 |
| Novant Medical Group Inc | 1153234893 | 2023 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ethan Raymond Kenney, PHYSICIAN ASSISTANT Po Box 60447, Charlotte, NC 28260-0447 Ph: (980) 302-8659 | Mr Ethan Raymond Kenney, PHYSICIAN ASSISTANT 15830 Ballantyne Medical Pl Ste 275, Charlotte, NC 28277-4791 Ph: (980) 302-8659 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 | |
Kierney Elizabeth Jackson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255 Fax: 704-446-1276 | |
Christian Sung, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Suite 300 - Adult Cardiology, Charlotte, NC 28203 Phone: 704-373-0212 | |
Mrs. Joanna Beth Wisotsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7809 Sardis Rd, Charlotte, NC 28270 Phone: 704-364-4000 Fax: 704-364-4005 | |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 | |
Shelda Amilcka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 | |
Lindsay Caroline Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2682 Fax: 704-323-3985 |