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Emily Buckmiller Supernova, PA-C
Physician Assistant in Louisville, Kentucky
NPI 1194228684

Emily Buckmiller Supernova is a Physician Assistant based in Chicago, KY. Emily Buckmiller Supernova practices in Louisville, KY and has the professional credentials of PA-C. The NPI Number for Emily Buckmiller Supernova is 1194228684 and holds a License No. 10732519-1206 (Kentucky).

The current practice location address for Emily Buckmiller Supernova is 4001 Dutchmans Ln, Louisville, KY and can be reached out via phone at 502-559-3930 and via fax at 502-559-4605.

Location: 4001 Dutchmans Ln, Louisville, KY, 60677-6879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194228684
Provider Name
Emily Buckmiller Supernova
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4001 Dutchmans Ln, Louisville, KY, 60677-6879
Phone Number
502-559-3930
Fax Number
502-559-4605
Provider Enumeration Date
03/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA2967 01 KY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4001 Dutchmans Ln
City
Louisville
State
Kentucky
Zip
40207-4714
Phone Number
502-559-3930
Fax Number
502-559-4605
person
Provider Business Mailing Address Details
Address
4001 Dutchmans Ln
City
Louisville
State
Kentucky
Zip
40207-4714
Phone Number
502-559-3930
Fax Number
502-559-4605
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10732519-1206 (Utah)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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