Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMILY BUCKMILLER SUPERNOVA, PA-C
ActiveEMILY BUCKMILLER SUPERNOVA, PA-C is a Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1194228684 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LOUISVILLE, KY
Registration Details
- NPI Number
- 1194228684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2018 (8.4459874945174 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
10732519-1206 (UT)2018013895 (MO)PA2967 (KY)
Practice Information
- Address
-
4001 DUTCHMANS LNLOUISVILLE, KY, 402074714Browse KY providers · Browse ZIP 40207
- Phone
- 5025593930
- Fax
- 5025594605
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MELISSA DAWN EDDS | PA-C | 1578566600 |
| MR. JAMES SCOTT GAGEL | PA | 1073518262 |
| MICHAEL E GILBERT | PA-C | 1265438550 |
| CANDY SUE FISCHBACH | PA-C | 1992703383 |
| KIRK A FOUGNIE | PA-C | 1295734747 |
| MRS. TRACEY GREGORY MAYNOR | PAC | 1043219520 |
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.