Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kelly Butler-Vise, PA-C

Individual provider Physician Assistant · NPI 1164752903

Kelly Butler-Vise, PA-C is a Physician Assistant in Carlisle, Kentucky. Graduated from University of Kentucky College of Medicine in 2009, 17 years ago. Practices with St Claire Medical Center Inc, a 180-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
17
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

107 S Broadway St
Carlisle, KY 40311-1150 Not confirmed with CMS for 13 years — call before visiting
Phone: (859) 289-4124
Fax: (859) 289-4126
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1334 (KY)

Record details

NPI number1164752903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2009
Last updated in NPPESFebruary 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice St. Claire Medical Center Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at St Claire Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 180 clinicians in the practice; 12 are shown here.