Physician Assistant
KENDALL CLEVENGER PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1154654218 · enumerated 2009-09-08 · record updated 2009-09-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 510 2ND ST SE, PINE CITY, MN, 55063-1706 (320) 629-6721 Google Maps Apple Maps OpenStreetMap
- Mailing address 13709 BISTRAM RD, GRANTSBURG, WI, 54840-7237 (715) 463-3816 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 9635 MN
In this directory
Locations and evidence
-
Practice location
PINE CITY, MN, 550631706
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.