| | Physician Last Name: | Wentworth |
| | Physician First Name: | Kevin |
| | Physician Middle Name: | J |
| | Address: | Address redacted |
| | License Number: | 002269 |
| | License Type: | PA |
| | Year of Birth: |
1959
|
| | Effective Date: | 10/11/2011 |
| | Action Description for DOH Webpage: | Probation for three years. The physician assistant completed the terms of his order effective April 23, 2015 |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of negligence on more than one occasion. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
