1. Home
  2. Directory
  3. Minnesota
  4. Pine City
  5. Physician Assistant
  6. NPI Profile

KENDALL CLEVENGER PA
NPI 1154654218
Physician Assistant in Pine City, MN

Active since September 08, 2009
510 2ND ST SE, PINE CITY, MN 55063(320) 629-6721 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kendall Clevenger Pa NPPES

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

KENDALL CLEVENGER PA (NPI 1154654218) is an individual physician assistant in Pine City, Minnesota, licensed in Minnesota (9635) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1154654218
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENDALL CLEVENGERCredential: PA
Location Address510 2ND ST SEPine City, MN 55063-1706
Mailing Address13709 Bistram RdGrantsburg, WI 54840-7237 · (715) 463-3816
Phone(320) 629-6721
Sole ProprietorYes
Enumeration DateSeptember 8, 2009
✔ NPI 1154654218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9635
Definition
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.
510 2ND ST SE, Pine City, MN 55063
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIDHI GUPTA MD
Internal Medicine
510 2ND ST SE
PINE CITY, MN 55063
Pine County (320) 629-6721
PINE CITY AREA CLINIC
Clinic/Center
510 2ND ST SE
PINE CITY, MN 55063
Pine County (320) 629-6721
MICHAEL B THOMPSON MD
Family Medicine
510 2ND ST SE
PINE CITY, MN 55063
Pine County (320) 629-6721
PREMIER CHIROPRACTIC LLC
Chiropractor
510 2ND ST SE
PINE CITY, MN 55063
Pine County (320) 629-8070
DR. GRETCHEN BLAUFUSS SKALICKY D.C.
Chiropractor
510 2ND ST SE
PINE CITY, MN 55063
Pine County (320) 629-8070
JENNIFER L JOHNSON PHARMD
Pharmacist
510 2ND ST SE
PINE CITY, MN 55063
Pine County (651) 982-7404

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 Kendall Clevenger's NPI number?

The NPI number for Kendall Clevenger is 1154654218. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Kendall Clevenger located?

Kendall Clevenger practices at 510 2nd St SE, Pine City, MN 55063. The listed phone number is (320) 629-6721.

What is Kendall Clevenger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kendall Clevenger was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.