Individual
KYLEE JO DREISBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4955 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241-2832
(502) 394-6350
(502) 394-6351
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3092
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1197448
NCCPA
—
01
—
TC266
MEDICAL LICENSE
KY
Enumeration date
08/23/2022
Last updated
11/13/2025
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