Dr. Kenneth Wayne Edmisson Jr.
ND EDD RNC FNP CRNA | Nurse Practitioner - Family | 16+ years Exp
225 Medical Center Dr, #405, Paducah
Kentucky, 42003-7914
270-441-4750
Dr. Kenneth Wayne Edmisson Jr. is a Paducah, Kentucky based nurse practitioner with 16 years of experience in Family. He completed his graduation in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Wayne Edmisson Jr. is 6429 for Nurse Practitioner in Tennessee. His current practice location is 225 Medical Center Dr, #405, Paducah. Patients can reach him at 270-441-4750. Dr. Kenneth Wayne Edmisson Jr. is ND EDD RNC FNP CRNA with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1295731081.
Dr. Kenneth Wayne Edmisson Jr. delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Dr. Kenneth Wayne Edmisson Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Wayne Edmisson Jr. |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | ND EDD RNC FNP CRNA |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 225 Medical Center Dr, #405, Paducah,
Kentucky, 42003-7914 |
| Phone: | 270-441-4750 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082675269 |
| Enrollment ID: | I20110818000649 |
| NPI Number: | 1295731081 |
| NPI Enumeration Date: | 26 Jun, 2005 |
| NPI Last Update On: | 04 Oct, 2011 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Wayne Edmisson Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 6429 | Nurse Practitioner | Tennessee | Primary | |
| APN0000006429 | Family | Tennessee | Secondary | |
| 0024162111 | Family | Virginia | Secondary | |
| 3007055 | Nurse Anesthetist, Certified Registered | Kentucky | Secondary | |
| 1659 | Nurse Anesthetist, Certified Registered | Texas | Secondary | |
| 12386-NA | Nurse Anesthetist, Certified Registered | Ohio | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (180102) | Paducah, KY | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dr. Kenneth Wayne Edmisson Jr. is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Purchase Anesthesia, Psc (1951357847) | 23 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kenneth Wayne Edmisson Jr.
225 Medical Center Dr, #405
Paducah, Kentucky |
| Zip: | 42003-7914 |
| Phone Number: | 270-441-4750 |
Patients can reach Dr. Kenneth Wayne Edmisson Jr. at
225 Medical Center Dr, #405, Paducah, Kentucky or can
call to book an appointment on 270-441-4750.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.