NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Kevin Lamar Redus, PA-C

Surgical Physician Assistant in Wickenburg, AZ · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164425633

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Registry record

Entity type Individual (Type 1)
Name Mr. Kevin Lamar Redus
Credential PA-C
Sex Male
Practice address Wickenburg, AZ, 85390
Fax (289) 684-7457
Enumeration date May 27, 2005
Last updated in NPPES Apr 26, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2477 (AZ) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2477 (AZ) Primary

Other identifiers

Identifier Type State Issuer
AZ0146700 Other AZ BLUE CROSS BLUE SHIELD AZ
577786001 Medicaid AZ -
577786 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kevin Redus practice?
The practice location on file with NPPES is in Wickenburg, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kevin Redus?
The National Provider Identifier (NPI) for Kevin Redus is 1164425633, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-26.