PAOLA JETZABELLA KENNAH PA-C
NPI 1972030765
Physician Assistant in Fleming Island, FL

Active since May 11, 2017
2349 VILLAGE SQUARE PKWY STE 110-111, FLEMING ISLAND, FL 32003(904) 385-2023(904) 385-2454 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Dec 4, 2019, Sep 24, 2018 and 2 more (5 updates tracked since 2017).

About Paola Jetzabella Kennah Pa-c NPPES

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

PAOLA JETZABELLA KENNAH PA-C (NPI 1972030765) is an individual physician assistant in Fleming Island, Florida, licensed in Florida (PA9117136) and active in the NPI registry since May 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972030765
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAOLA JETZABELLA KENNAHCredential: PA-C
Location Address2349 VILLAGE SQUARE PKWY STE 110-111Fleming Island, FL 32003-6355
Mailing Address23343 Nw County Road 236High Springs, FL 32643-9669 · (386) 454-0698
Fax(904) 385-2454
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 27, 20235 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1972030765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9117136
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9117136 (FL), 139211 (AK)
2349 VILLAGE SQUARE PKWY STE 110-111, Fleming Island, FL 32003

Secondary Practice Locations 2

Location 12925 DeBarr Rd Ste 240Anchorage, AK 99508-2959 · Phone (907) 339-4650
Location 24311 11th Ave NE Ste 200Seattle, WA 98105 · Phone (206) 616-4001

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Other Providers at the Same Location NPPES 4

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

Pharmacy (Community/Retail Pharmacy)
2349 VILLAGE SQUARE PKWY STE 110-111
FLEMING ISLAND, FL 32003
Physician Assistant
2349 VILLAGE SQUARE PKWY STE 110-111
FLEMING ISLAND, FL 32003
Clinic/Center (Federally Qualified Health Center (FQHC))
2349 VILLAGE SQUARE PKWY STE 110-111
FLEMING ISLAND, FL 32003
Physician Assistant
2349 VILLAGE SQUARE PKWY STE 110-111
FLEMING ISLAND, FL 32003

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 Paola Kennah's NPI number?

The NPI number for Paola Kennah is 1972030765. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Paola Kennah located?

Paola Kennah practices at 2349 Village Square Pkwy Ste 110-111, Fleming Island, FL 32003. The listed phone number is (904) 385-2023.

What is Paola Kennah's specialty?

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

What insurance does Paola Kennah accept?

Health plans from Moda Health Plan, Inc. list Paola Kennah 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 Paola Kennah was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.