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

Individual provider Surgical Assistant · NPI 1255604336

Wendy Autumn Lewis, KCSA is a Surgical Assistant in Louisville, Kentucky. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2012
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Practice location Address checks out

4001 Kresge Way Ste 200
Louisville, KY 40207-4640
Phone: (502) 895-1995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12503 Northolt Ct, Louisville, KY 40245-8472 — (502) 445-2533

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA233 (KY)

Record details

NPI number1255604336
Entity typeIndividual (Type 1)
GenderFemale
Credentials KCSA
Sole proprietorYes
NPI enumeratedFebruary 20, 2012
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

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