Individual
CAITLIN ANN BREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-4900
Mailing address
1435 TYLER PARK DR, LOUISVILLE, KY 40204-1540
(770) 826-5732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1126604
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3008443
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33825
PHYSICIAN NUMBER
KY
Enumeration date
01/29/2014
Last updated
11/04/2014
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