Individual provider · Type 1 NPI

Matthew Lavallee, PA-C

Physician Assistant · Fort Knox, KY

NPI number 1114429081 Active

Practice location

200 Brule St Bldg 871
Fort Knox, KY 40121-6100

Call (253) 968-2252 Map

Mailing address

62nd Med Bde
Joint Base Lewis Mcchord, WA 98433

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 1114429081

Matthew Lavallee, PA-C's National Provider Identifier is 1114429081, issued on Mar 6, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Knox, KY. The record was last updated on Aug 15, 2025.