Wilton C Kennedy Iii (NPI# 1154475267, PAC ID# 9032205836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154475267 |
| PAC ID by PECOS | 9032205836 |
| Professional Enrollment ID | I20071009000826 |
| Full Name | Wilton C Kennedy Iii |
| Organization Legal Name | ROANOKE VALLEY HEALTHCARE PARTNERS, LLC |
| Address |
602 Brandon Ave Sw Suite 222 Roanoke VA 24015-3212 |
| Phone Number | 5407740000 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143490326 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 | 5407740000 | ROANOKE VALLEY HEALTHCARE PARTNERS, LLC |
| Organization Legal Name | ROANOKE VALLEY HEALTHCARE PARTNERS, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serge E Depret-guillaume | Family Medicine | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Charles E Shaffer | Family Medicine | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Gail L Arrington | Nurse Practitioner | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Benjamin K Perler | Physician Assistant | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Michael Rowland | Family Medicine | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Catherine E Willard | Physician Assistant | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Rikki A Mcconnell | Nurse Practitioner | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Willie Hamilton | Nurse Practitioner | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Street Address |
602 BRANDON AVE SW SUITE 222 |
| City | ROANOKE |
| State | VA |
| Zip | 24015-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serge E Depret-guillaume | Family Medicine | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Charles E Shaffer | Family Medicine | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Gail L Arrington | Nurse Practitioner | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Benjamin K Perler | Physician Assistant | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Michael Rowland | Family Medicine | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Catherine E Willard | Physician Assistant | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Rikki A Mcconnell | Nurse Practitioner | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Willie Hamilton | Nurse Practitioner | Roanoke Valley Healthcare Partners, LLC | 602 Brandon Ave Sw, Suite 222, Roanoke, VA 24015-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorene P Fick | Clinical Social Worker | 1409 Grandin Rd Sw, Roanoke, VA 24015-2317 | |
| Terry G Kahn | Physical Therapy | 1327 Grandin Rd Sw, Roanoke, VA 24015-2349 | |
| Jamison S Cundiff | Chiropractic | 1701 Grandin Swrd, Roanoke, VA 24015-2815 | |
| Eleanor E Wright | Clinical Social Worker | 1719 Grandin Rd Sw, Roanoke, VA 24015-2815 | |
| Susan L Owen | Clinical Social Worker | 1719 Grandin Rd Sw, Roanoke, VA 24015-2815 | |
| Melanie Quillen | Clinical Social Worker | Thriving Families Counseling LLC | 1719 Grandin Rd Sw, Roanoke, VA 24015-2815 |
| Michael S Burgoon | Chiropractic | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015-3100 | |
| Heather Dickey | Qualified Audiologist | Roanoke Valley Speech and Hearing Center, Inc. | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 |
| Michelle A Ickes | Qualified Audiologist | Roanoke Valley Speech and Hearing Center, Inc. | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 |
| Michael Eaton | Physical Therapy | Tidewater Physical Therapy LLC | 2033 Colonial Ave Sw, Suite 138, Roanoke, VA 24015-3210 |
| Find all physicians in zip 24015 | |||
| City | ROANOKE |
| Zip Code | 24015 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROANOKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Wilton C Kennedy Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.