Individual provider · Type 1 NPI

Mackenzie Noelle Thayer

Physician Assistant · Louisville, KY

NPI number 1841107158 Active

Practice location

2100 Gardiner Ln
Louisville, KY 40205-2962

Call (502) 413-8640 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15882 (MN)

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 1841107158

Mackenzie Noelle Thayer's National Provider Identifier is 1841107158, issued on Aug 25, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Louisville, KY. The record was last updated on Aug 25, 2026.