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

Individual provider Physician Assistant · NPI 1861009482

Shivali Kanal, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2020, 6 years ago. Practices with New Lexington Clinic PSC, a 324-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Kentucky.

Years since qualifying
6
Licensed in
IL, KY
In the registry since
2020
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

1720 Nicholasville Rd Ste 500
Lexington, KY 40503-1487
Phone: (859) 278-1114
Fax: (859) 277-0541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 Bevins Ln Ste A, Georgetown, KY 40324-8532 — (502) 863-9007
  • 230 Fountain Ct Ste 230, Lexington, KY 40509-1897 — (859) 977-5335
  • 1012 Ival James Blvd Ste B, Richmond, KY 40475-8278 — (859) 624-3615

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3464 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 085009409 (IL)

Record details

NPI number1861009482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

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 New Lexington Clinic Psc — 324 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lexington