Individual
CAITLIN A MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CLINT HILL BLVD, PADUCAH, KY 42001-6771
(270) 442-9461
Mailing address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3108
KY
363A00000X
Physician Assistant
—
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2022
Last updated
12/13/2023
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