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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EMMA ROSE MCKISSACK
NPI 1053216028
Physician Assistant in Lexington, KY

Active since October 10, 2026
1207 S BROADWAY, LEXINGTON, KY 40504(859) 258-6200 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Emma Rose Mckissack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA ROSE MCKISSACK (NPI 1053216028) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC127) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1053216028
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA ROSE MCKISSACK
Location Address1207 S BROADWAYLexington, KY 40504-2701
Mailing Address965 Meadow LnLexington, KY 40505-3353
Phone(859) 258-6200
Sole ProprietorNo
Enumeration DateOctober 10, 2026
NPPES CertifiedOctober 10, 2026
✔ NPI 1053216028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · TC127
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1207 S BROADWAY, Lexington, KY 40504
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT DALE OWEN JR. M.D.
Neurological Surgery
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6760
MR. JERRY ROBERTS ABNEY JR. OTR/L, CHT
Occupational Therapist (Hand)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8519
CODY STOVER M.D.
Orthopaedic Surgery
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8575
KATHLEEN HELEN CAMPBELL PA-C
Physician Assistant
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6101
JUSTIN HENRY CLARK PT, DPT
Physical Therapist
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8519
STEPHEN C. UMANSKY M.D.
Orthopaedic Surgery (Hand Surgery)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8575
DR. ELLEN J FLINCHUM M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6101
SPENSER GEORGI
Nurse Practitioner (Family)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Mckissack's NPI number?

The NPI number for Emma Mckissack is 1053216028. It was assigned to this individual provider in the NPPES registry on October 10, 2026.

Where is Emma Mckissack located?

Emma Mckissack practices at 1207 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-6200.

What is Emma Mckissack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Emma Mckissack was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.