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Active NPI 1154654218 Individual Practitioner Male Practitioner

Kendall Clevenger , PA

Physician Assistant • Pine City, MN

Professional Overview & Biography Verified Profile Summary

Kendall Clevenger, PA is a registered healthcare professional specializing in Physician Assistant in Pine City, MN. Practice services are available at 510 2ND ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

510 2nd St Se

Pine City, MN 550631706

Telephone 3206296721
Associated Practice Facility / Clinic
🏢 Pine City Area Clinic Facility NPI 1437244431

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pine City, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Pine City, MN (4026 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9635

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

7 Associated Practitioners
Dr. Josie Anderson , DPT

Physical Medicine & Rehabilitation

NPI 1023508876

Doctor of Physical Therapy

Dr. Umair Rehman , MD

Family Medicine

NPI 1285074450

Doctor of Medicine (M.D.)

Dr. Gerald Tolan , DO

Family Medicine

NPI 1336239623

Doctor of Osteopathic Medicine (D.O.)

Dr. Nidhi Gupta , MD

Internal Medicine

NPI 1336338433

Doctor of Medicine (M.D.)

NPI 1629165725

Doctor of Medicine (M.D.)

Kathryn Marvin , NP

Nurse Practitioner - Family

NPI 1669837340

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2009

Registered at 510 2ND ST SE, PINE CITY, MN 550631706 (Tel: 3206296721)

📍
Updated Business Mailing Address September 08, 2009

Registered at 13709 BISTRAM RD, GRANTSBURG, WI 548407237 (Tel: 7154633816)

👤
Provider Name / Credentials Updated September 08, 2009

Recorded as KENDALL CLEVENGER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2009

Physician Assistant (License #9635 in MN)

🟢
Initial NPI Registration & Enumeration September 08, 2009

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: 1154654218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2009
Last Update: September 08, 2009
Sole Proprietor: Yes

Mailing Address

13709 Bistram Rd

Grantsburg, WI 548407237

Phone: 7154633816

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.