Individual provider · Type 1 NPI

Mallory Paige Whitlock, PAC

Physician Assistant · Lexington, KY

NPI number 1205526464 Active

Practice location

2195 Harrodsburg Rd
Lexington, KY 40504-3516

Mailing address

200 Clint Hill Blvd
Paducah, KY 42001-6768

Other practice locations

  • 2501 Kentucky Ave, Paducah, KY 42003-3813 · (270) 575-2180
  • 200 Clint Hill Blvd, Paducah, KY 42001-6768 · (270) 442-9461

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA3330 (KY)
Surgical Physician Assistant 363AS0400XPA3330 (KY)
Physician Assistant Primary 363A00000XPA3330 (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 1205526464

Mallory Paige Whitlock, PAC's National Provider Identifier is 1205526464, issued on May 11, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lexington, KY. The record was last updated on Aug 24, 2026.