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

Individual provider Physician Assistant · NPI 1821275520

Emily Mossotti Clark, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2006, 20 years ago. Practices with Kettering Network Radiologists Inc, a 75-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2008
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

1218 S Broadway Ste 310
Lexington, KY 40504-2759
Phone: (859) 219-0542
Fax: (859) 219-9433
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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 PA991 (KY)

Record details

NPI number1821275520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2008
Last updated in NPPESNovember 4, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kettering Network Radiologists Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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