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

Mallory Paige Whitlock, PAC

Individual provider Physician Assistant · NPI 1205526464

Mallory Paige Whitlock, PAC is a Physician Assistant in Paducah, Kentucky. Qualified in 2023, 3 years ago. Practices with Mercy Health Physicians Kentucky Specialty Care LLC, a 147-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone: (270) 442-9461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 Kentucky Ave, Paducah, KY 42003-3813 — (270) 575-2180

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3330 (KY)

Record details

NPI number1205526464
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mercy Health Physicians Kentucky Specialty Care Llc — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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