IndividualActive
Madeline Blackwell, PA-C
NPI 1053046946 · Surgical Physician Assistant · Paducah, KY
Provider details
- NPI number
- 1053046946
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
2601 Kentucky Ave Ste 201
Paducah, KY 42003-3825
Phone: (270) 538-9555
Fax: (270) 538-9554
Approximate (ZIP-level) locationGet directions
Mailing address
345 Odessa Way
Paducah, KY 42001-8305
Additional practice locations (1)
- 333 Murfreesboro PikeTrevecca PA ProgramNashville, TN 37210Phone: (615) 248-1225
Registry dates
- Enumerated
- 2022-07-23
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.