Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kacy V Enloe, PA-C

Individual provider Physician Assistant · NPI 1922580638

Kacy V Enloe, PA-C is a Physician Assistant in Fayetteville, Arkansas. Qualified in 2017, 9 years ago. Practices with Fands Physical Therapy, Inc, a 217-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Tennessee.

Years since qualifying
9
Licensed in
AR, TN
In the registry since
2018
Specialties on file
2
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

1695 E Rainforest Rd
Fayetteville, AR 72703-5385
Phone: (479) 445-6460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7211 Wellington Dr Ste 201, Knoxville, TN 37919-5968 — (865) 584-5762

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 979 (AR)
Physician Assistant Taxonomy 363A00000X · Licence 3503 (TN)

Record details

NPI number1922580638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fands Physical Therapy, Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville