Provider Demographics
NPI:1124395843
Name:DENNISTON, BRITTANY GILLSTRAP (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:GILLSTRAP
Last Name:DENNISTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:KATHERINE
Other - Last Name:GILLSTRAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 LEAWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3375
Mailing Address - Country:US
Mailing Address - Phone:502-223-0231
Mailing Address - Fax:502-227-1871
Practice Address - Street 1:1001 LEAWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3375
Practice Address - Country:US
Practice Address - Phone:502-223-0231
Practice Address - Fax:502-227-1871
Is Sole Proprietor?:No
Enumeration Date:2011-11-23
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA1690363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical