IndividualActive
Alexander Kenney, PA-C
NPI 1104354968 · Physician Assistant · Fort Polk, LA
Provider details
- NPI number
- 1104354968
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1141986
Mailing address
1585 3rd St
Fort Polk, LA 71459-5102
Registry dates
- Enumerated
- 2017-05-24
- Last updated
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.