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

Individual provider Physician Assistant · NPI 1295734747

Kirk A Fougnie, PA-C is a Physician Assistant in Louisville, Kentucky. Qualified in 2000, 26 years ago. Practices with Live Well Orthopedic Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
26
Licensed in
KY
In the registry since
2005
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

4331 Churchman Ave Ste 101
Louisville, KY 40215-1164
Phone: (502) 364-0902
Fax: (502) 364-0099
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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 PA582 (KY)

Record details

NPI number1295734747
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESOctober 19, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Live Well Orthopedic Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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