MR. KENNETH PAUL MANSELLE PA-C
NPI 1417037052
Physician Assistant - Medical in Kissimmee, FL

Active since October 17, 2006
1050 W CARROLL ST, KISSIMMEE, FL 34741(407) 518-9775(407) 518-0094 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Paul Manselle Pa-c NPPES

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

MR. KENNETH PAUL MANSELLE PA-C (NPI 1417037052) is an individual medical provider in Kissimmee, Florida, licensed in (PA9101437) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417037052
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH PAUL MANSELLECredential: PA-C
Location Address1050 W CARROLL STKissimmee, FL 34741-1268
Mailing Address4473 Emerson Park Dr, #101Orlando, FL 32839-6107 · (941) 961-3977
Fax(407) 518-0094
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417037052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed · PA9101437
1050 W CARROLL ST, Kissimmee, FL 34741

Other Providers at the Same Location NPPES 8

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

Pediatrics
1050 W CARROLL ST
KISSIMMEE, FL 34741
Pediatrics
1050 W CARROLL ST
KISSIMMEE, FL 34741
Physician Assistant (Medical)
1050 W CARROLL ST
KISSIMMEE, FL 34741
Physician Assistant
1050 W CARROLL ST
KISSIMMEE, FL 34741
Nurse Practitioner (Family)
1050 W CARROLL ST
KISSIMMEE, FL 34741
Pediatrics
1050 W CARROLL ST
KISSIMMEE, FL 34741
Pediatrics
1050 W CARROLL ST
KISSIMMEE, FL 34741
General Practice
1050 W CARROLL ST
KISSIMMEE, FL 34741

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 Kenneth Manselle's NPI number?

The NPI number for Kenneth Manselle is 1417037052. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kenneth Manselle located?

Kenneth Manselle practices at 1050 W Carroll St, Kissimmee, FL 34741. The listed phone number is (407) 518-9775.

What is Kenneth Manselle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Manselle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.