Individual provider · Type 1 NPI

Emma Rose McKissack

Physician Assistant · Lexington, KY

NPI number 1053216028 Active

Practice location

1207 S Broadway
Lexington, KY 40504-2701

Fax (859) 258-6512

Mailing address

1221 S Broadway
Lexington, KY 40504-2701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XTC127 (KY)

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 1053216028

Emma Rose McKissack's National Provider Identifier is 1053216028, issued on Oct 10, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lexington, KY. The record was last updated on Oct 14, 2026.