Individual provider

Paola Kennah, PA-C

Physician Assistant Medical Physician Assistant

Paola Kennah, PA-C is a Physician Assistant in Fleming Island, FL, registered under NPI 1972030765. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2349 VILLAGE SQUARE PKWY STE 110-111, Fleming Island, FL 32003. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2349 VILLAGE SQUARE PKWY STE 110-111, Fleming Island, FL 32003 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA9117136 FL Physician Assistant primary
PA9117136 FL Medical Physician Assistant
139211 AK Medical Physician Assistant

Licences are recorded in 2 states: FL, AK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Alaska and Florida. The practice address on file is in Fleming Island, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AK Alaska
Licence
139211
Specialty
Medical Physician Assistant
Verify with the AK board →
FL Florida practice address
Licence
PA9117136
Specialty
Physician Assistant
Verify with the FL board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

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. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant PA9117136 FL primary
363AM0700X Medical Physician Assistant Medical PA9117136 FL
363AM0700X Medical Physician Assistant Medical 139211 AK

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1972030765 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 11, 2017
Last updatedJul 27, 2023
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 2349 VILLAGE SQUARE PKWY STE 110-111
Fleming Island, FL 32003
(904) 385-2023
Fax (904) 385-2454
Mailing address 23343 NW COUNTY ROAD 236
High Springs, FL 32643
The last update on file is Jul 27, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1972030765 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 7 2 0 3 0 7 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 5 2 0 3 0 7 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1972030765?
NPI 1972030765 is the National Provider Identifier assigned to Paola Kennah, PA-C in Fleming Island, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
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…
How do I contact Paola Kennah, PA-C?
The phone number on file with NPPES is (904) 385-2023, last updated Jul 27, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1972030765 a valid number?
Yes. 1972030765 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.