Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Buckmiller Supernova, PA-C

Individual provider Physician Assistant · NPI 1194228684

Emily Buckmiller Supernova, PA-C is a Physician Assistant in Louisville, Kentucky. Licensed in Kentucky, Missouri and Utah. Registered with an NPI since 2018.

Licensed in
KY, MO, UT
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4001 Dutchmans Ln
Louisville, KY 40207-4714
Phone: (502) 559-3930
Fax: (502) 559-4605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2967 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 2018013895 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 10732519-1206 (UT)

Record details

NPI number1194228684
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2018
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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