Kirsten M Adair, PA-C
Individual provider Active NPI Medical Physician Assistant · Lexington, KY
NPI 1306848841 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1306848841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA517 (KY)
- Practice address
- 4071 Tates Creek Centre Dr Ste 202
Lexington, KY 40517-3094 - Phone
- (859) 226-0206
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071005000157 | KY | Practitioner - Physician Assistant | 8022103092 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Dermatology & Laser Center PSC | Current |
Accepting new patients |
Locations
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA517 | KY | Yes |
Addresses
Primary practice location
4071 Tates Creek Centre Dr Ste 202
Lexington, KY 40517-3094
Mailing address
4071 Tates Creek Centre Dr Ste 202
Lexington, KY 40517-3094
Phone (859) 226-0206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65926933 | Medicaid | KY |
Other providers in Lexington, KY
- Acs Primary Care Physicians-Midwest
- Action Chiropractic PLLC
- Active Day Ky, Inc.
- Active Medical LLC
- James Ransom Adair
- Adam E. Thompson, DMD, PSC
- Aimee Adams
- Allison Adams
- Allison Adams
- Anna Helene Adams
All providers in Lexington, KY · Medical Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.