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Individual
KAITLYN GERRETY
Active
Individual
KAITLYN GERRETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003144A
IN
363A00000X
Physician Assistant
Primary
PA2548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372005
—
OH
05
—
300046435
—
IN
05
—
7100633110
—
KY
Enumeration date
09/12/2019
Last updated
04/03/2025
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