Physician Assistant
MALLORY BARTRAM PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508257783 · enumerated 2015-02-10 · record updated 2018-10-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MALLORY BUCKOSH
Addresses and phones
- Practice location 800 ROSE ST, MS-463, LEXINGTON, KY, 40536-0202 (859) 323-0100 Fax (859) 257-6066 Google Maps Apple Maps OpenStreetMap
- Mailing address 800 ROSE ST, MS-463, LEXINGTON, KY, 40536-0202 (859) 323-0100 Fax (859) 257-6066 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA1985 KY
In this directory
Locations and evidence
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Practice location
LEXINGTON, KY, 405360202
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.