Whalio Doctors

NPI 1053046946

Madeline Wooten Blackwell, PAC

Practitioner Surgical Physician Assistant Paducah, KY

Practice location

Address
2601 Kentucky Ave STE 201, Paducah, KY 42003-3825
Phone
(270) 538-9555
Fax
(270) 538-9554
Mailing address
345 Odessa Way, Paducah, KY 42001-8305

Registered specialties (2)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1053046946
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Jul 2022
Record last updated
12 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.