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Active NPI 1518859867 Individual Practitioner Male Practitioner

Kedner Etienne

Physician Assistant • Belle Glade, FL

Professional Overview & Biography Verified Profile Summary

Kedner Etienne is a registered healthcare professional specializing in Physician Assistant in Belle Glade, FL. Practice services are available at 1200 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 S Main St

Belle Glade, FL 334307808

Telephone 5619962024
Associated Practice Facility / Clinic
🏢 My Doctor Pa Facility NPI 1992785513

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belle Glade, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Belle Glade, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PR 2744-P.A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Hailey Campbell , PA-C

Physician Assistant

NPI 1609436625

Physician Assistant (Certified)

Dr. Evens Louima , MD

General Practice

NPI 1912557620

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2025

Registered at 1200 S MAIN ST, BELLE GLADE, FL 334307808 (Tel: 5619962024)

📍
Updated Business Mailing Address July 18, 2025

Registered at 313 SAN LUIZ AVE, CLEWISTON, FL 334403307 (Tel: 7745062115)

👤
Provider Name / Credentials Updated July 18, 2025

Recorded as KEDNER ETIENNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2025

Physician Assistant (License #2744-P.A in PR)

🟢
Initial NPI Registration & Enumeration July 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518859867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2025
Last Update: July 18, 2025
Sole Proprietor: No

Mailing Address

313 San Luiz Ave

Clewiston, FL 334403307

Phone: 7745062115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.