Individual provider · Type 1 NPI

Mary Alice Disselkamp, PA-C

Physician Assistant · Elizabethtown, KY

NPI number 1043876170 Active

Practice location

2407 Ring Rd Ste 108
Elizabethtown, KY 42701-5938

Call (270) 706-5787 Map

Fax (270) 706-5788

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043876170

Mary Alice Disselkamp, PA-C's National Provider Identifier is 1043876170, issued on May 14, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elizabethtown, KY. The record was last updated on Nov 8, 2023.