Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY MARIE PESIS, PA
Active Sole ProprietorPhysician Assistant · FORT KNOX, KY
Registration Details
- NPI Number
- 1114073939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.247315819621 yrs)
- Last Updated
- Nov 18, 2014
- License
-
PA718 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
289 IRELAND AVEIRELAND ARMY COMMUNITY HOSPITALFORT KNOX, KY, 401215111Browse KY providers · Browse ZIP 40121
- Phone
- 5026249007
- Fax
- 5026240252
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT KNOX, KY
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN LARYSSA EPPERSON | PA-C | 1629050513 |
| MS. PATRICIA GLOVER BURTOFT | PA-C | 1164400883 |
| MR. EMMANUEL ASAMOAH PRAH | MPAS, PA-C | 1386725729 |
| MR. KIRBY ALLEN HARPER | P.A.C. | 1609925734 |
| ANNETTE BAKER | PA-C | 1144370875 |
| DAVID JAMES ELLIS | PA-C | 1790965184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.