Kenzie Dittmar, PA
Physician Assistant · Dallas, GA
UnclaimedPANPI 1265228795
- Primary taxonomy
- 363A00000X
- Enumerated
- 2025-04-21
- Practice location
- Dallas, GA
- Last NPPES update
- 2026-01-29
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.