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

Individual provider Medical Physician Assistant · NPI 1619374246

Patrick Tullis, PA-C is a Medical Physician Assistant in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2014
Specialties on file
3
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

800 Rose St # MN150
Lexington, KY 40536
Phone: (859) 323-0101
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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 PA1954 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1954 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA1954 (KY)

Record details

NPI number1619374246
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 25, 2014
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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