PAOLA JETZABELLA KENNAH (PA-C) – Physician Assistant, NPI 1972030765

PAOLA JETZABELLA KENNAH (PA-C) is a healthcare provider. based in Fleming island, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9117136 (FL). The NPI Number for PAOLA JETZABELLA KENNAH (PA-C) is 1972030765

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
PAOLA JETZABELLA KENNAH (PA-C)
NPI
1972030765
Phone
(904) 385-2023
Address
2349 VILLAGE SQUARE PKWY STE 110-111
Enumeration Date
11 May 2017
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073394650
Graduation Year
2018 (8 years ago)
PAC ID
0345586293
Group Practice PAC ID
7012297062
Professional Enrollment ID
I20190114001642
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for PAOLA JETZABELLA KENNAH (PA-C)

  • 2349 VILLAGE SQUARE PKWY STE 110-111

    FLEMING ISLAND, FL 320036355

    Phone: (904) 385-2023

    Fax: (904) 385-2454

    Type: Location

  • 2925 DeBarr Rd Ste 240

    Anchorage, AK 995082959

    Phone: (907) 339-4650

    Type: Location

  • 4311 11th Ave NE Ste 200

    Seattle, WA 98105

    Phone: (206) 616-4001

    Type: Location

  • Debarr Road, Anchorage, Alaska, 99504, United States

    ANCHORAGE, AK 995082959

    Phone: (907) 339-4650

    Type: Mailing

  • 23343 NW COUNTY ROAD 236

    HIGH SPRINGS, FL 326439669

    Phone: (386) 454-0698

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,022.

Total Amount is formed as General ($1,022) + Research ($0) + Ownership ($0) = $1,022.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($247).

Total Amount

$1,022

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,022

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes450183$0
99213Established patient office or other outpatient visit, 20-29 minutes15692$0
80305Testing for presence of drug, read by direct observation8561$0
99212Established patient office or other outpatient visit, 10-19 minutes1512$0
99215Established patient office or other outpatient visit, 40-54 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012297062View full group profile
NameSpecialtyState
Physician AssistantTX
Hospice/Palliative CareOR
Physician AssistantAK
Physician AssistantAK
Pain ManagementWA
Pain ManagementGA
Physician AssistantAK
Physician AssistantAK
A N E S T H E S I O L O G YAK
Anesthesiology, Pain ManagementAK

Reviews

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Frequently asked questions

Does PAOLA JETZABELLA KENNAH (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PAOLA JETZABELLA KENNAH (PA-C) uses 1972030765.
Is PAOLA JETZABELLA KENNAH (PA-C) listed as active for patients and plans?
The listing shows PAOLA JETZABELLA KENNAH (PA-C) as active in the NPI system.
What taxonomy line describes PAOLA JETZABELLA KENNAH (PA-C)?
For research purposes, treat PAOLA JETZABELLA KENNAH (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PAOLA JETZABELLA KENNAH (PA-C)?
PAOLA JETZABELLA KENNAH (PA-C)'s geographic hint is Fleming Island, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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