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

Individual provider Medical Physician Assistant · NPI 1114941895

Jennifer L Sudduth, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2001, 25 years ago. Practices with Kentuckyone Health Medical Group Inc, a 252-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
25
Licensed in
KY
In the registry since
2006
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

1401 Harrodsburg Rd Ste B-160
Lexington, KY 40504-3751
Phone: (859) 276-4486
Fax: (859) 277-9164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA687 (KY)

Record details

NPI number1114941895
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 10, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Kentuckyone Health Medical Group Inc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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