IndividualActive
Amy Adkisson, PA-C
NPI 1629352059 · Physician Assistant · La Grange, KY
Provider details
- NPI number
- 1629352059
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA1596 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1023 Sanibel Way
La Grange, KY 40031-9157
Phone: (502) 222-3302
Fax: (502) 222-3624
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Stanley Gault Pkwy
Louisville, KY 40223-4197
Registry dates
- Enumerated
- 2011-10-04
- Last updated
- 2016-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.