KIMBERLY KANNENBERG PA-C
NPI 1265777544
Physician Assistant in Delray Beach, FL

Q: What is Kimberly Kannenberg's NPI number?

The NPI number for Kimberly Kannenberg is 1265777544. It was assigned to this individual provider in the NPPES registry on November 28, 2012.

Q: What is Kimberly Kannenberg's specialty?

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

Active since November 28, 2012

1425 S CONGRESS AVE, DELRAY BEACH, FL 33445(561) 330-9363 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Kannenberg Pa-c NPPES

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

KIMBERLY KANNENBERG PA-C (NPI 1265777544) is an individual physician assistant in Delray Beach, Florida, licensed in Florida (9106163) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1265777544

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY KANNENBERGCredential: PA-C

Location Address1425 S CONGRESS AVEDelray Beach, FL 33445-6384

Mailing Address1425 South Congress AvenueDelray Beach, FL 33445 · (561) 330-9363

Phone(561) 330-9363

Sole ProprietorYes

Enumeration DateNovember 28, 2012

Last NPPES UpdateJune 10, 2013

✔ NPI 1265777544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · 9106163✔ Licensed in TX · 00269

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.

1425 S CONGRESS AVE, Delray Beach, FL 33445

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Other Providers at the Same Location NPPES 14

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

JONATHAN PAVICIC

Physician Assistant