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KENTON FAMILY PRACTICE LLC
NPI 1083779110
Family Medicine in Kenton, OH

Active since December 27, 2006CLIA 36D1048599 · Waiver
75 WASHINGTON BLVD, KENTON, OH 43326(419) 675-1962(419) 673-8058 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenton Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTON FAMILY PRACTICE LLC (NPI 1083779110) is a healthcare organization registered as a family medicine in Kenton, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Paul D Wesson, Physician, as its authorized official.

NPPES Registry Identity

NPI1083779110
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENTON FAMILY PRACTICE LLC
Location Address75 WASHINGTON BLVDKenton, OH 43326-4001
Mailing AddressPo Box 418Kenton, OH 43326-0418 · (419) 675-1962 · Fax (419) 673-8058
Phone(419) 675-1962
Fax(419) 673-8058
Organization SubpartNo
Authorized OfficialPaul D WessonPhysician · (419) 675-1962
Enumeration DateDecember 27, 2006
Last NPPES UpdateSeptember 29, 2010
✔ NPI 1083779110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
75 WASHINGTON BLVD, Kenton, OH 43326
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Other Identifiers 3

Medicare PIN4106952OH
Medicare PIN9341541OH
Medicaid0174289OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenton Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenton Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Wesson, DO
Family Practice
NPI 1659362176
75 WASHINGTON BLVD #101
Kenton, OH 43326
(419) 675-1962
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1048599

Kenton Family Practice LLC · Kenton, OH
Active · expires Dec 5, 2027
CLIA Number36D1048599
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorPaul D. Wesson
Laboratory Phone(419) 675-1962
Laboratory LocationKenton Family Practice LLC75 Washington Blvd Suite 101, Kenton, OH 43326
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenton Family Practice LLC's NPI number?

The NPI number for Kenton Family Practice LLC is 1083779110. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Kenton Family Practice LLC located?

Kenton Family Practice LLC is located at 75 Washington Blvd, Kenton, OH 43326. The listed phone number is (419) 675-1962.

What is Kenton Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenton Family Practice LLC enrolled in Medicare?

Yes. Kenton Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenton Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kenton Family Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kenton Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1048599) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenton Family Practice LLC accept?

Health plans from Molina Healthcare list Kenton Family Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenton Family Practice LLC was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.