Individual provider · Type 1 NPI

Kenzie Dittmar, PA

Physician Assistant · Dallas, GA

NPI number 1265228795 Active

Practice location

850 Charles Hardy Pkwy
Dallas, GA 30157-3163

Call (770) 336-8888 Map

Mailing address

1502 N Amanda Cir NE
Atlanta, GA 30329-3320

Other practice locations

  • 10 Cloverleaf Dr, Cartersville, GA 30120-2178 · (770) 606-8026

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 1265228795

Kenzie Dittmar, PA's National Provider Identifier is 1265228795, issued on Apr 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, GA. The record was last updated on Jan 29, 2026.