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

Individual provider Physician Assistant · NPI 1164043352

Katherine Bollinger, PA-C is a Physician Assistant in Versailles, Kentucky. Qualified in 2020, 6 years ago. Practices with Proactive Therapy, Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
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

115 Crossfield Dr Ste A
Versailles, KY 40383-1845
Phone: (859) 873-9843
Fax: (859) 873-0972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 E Broadway, Columbia, MO 65215-0001 — (573) 442-2211

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021003257 (MO)

Record details

NPI number1164043352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address1221 S Broadway, Lexington, KY 40504-2701

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Proactive Therapy, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Versailles