Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENZIE DITTMAR, PA
Active Sole ProprietorKENZIE DITTMAR, PA is a Physician Assistant healthcare provider located in DALLAS, Georgia. NPI 1265228795 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DALLAS, GA
Registration Details
- NPI Number
- 1265228795
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2025 (1.3067185491823 yrs)
- Last Updated
- Jan 29, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
850 CHARLES HARDY PKWYDALLAS, GA, 301573163Browse GA providers · Browse ZIP 30157
- Phone
- 7703368888
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DALLAS, GA
| Name | Credential | NPI |
|---|---|---|
| MR. MARK DAVID ROMAN | PA-C | 1588692602 |
| BENITA NANNETTE HAMILTON | PA-C | 1780775486 |
| VITIA ANGELA PACK | PA-C | 1013133826 |
| MR. CHAD STOUGH | PA-C | 1548570120 |
| MORGAN ELISE BENSON BAKER | PA-C | 1609400886 |
| EDWIGE MICHEL | — | 1508669060 |
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.