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Kenna Brooke Aker

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

14215 Ballantyne Corporate Pl Ste 130, Charlotte, NC 28277-3671

(704) 384-1950

PECOS Enrollment

This provider is enrolled in PECOS as KENNA AKER.

Based on the most recent information from CMS, provider Kenna Brooke Aker is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629443668
Provider Type
Individual
Full Name
Aker, Kenna Brooke
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
12/2/2015
Last Updated
4/4/2022

Contact Information

Practice Location

14215 Ballantyne Corporate Pl Ste 130, Charlotte, NC 28277-3671

(704) 384-1950

Unlisted Fax

Mailing Location

PO Box 60447, Charlotte, NC 28260-0447

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-06176 North Carolina
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Kenna Brooke Aker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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