Individual
CAITLYN MICHELLE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S WARREN ST, MORGANTOWN, KY 42261-9416
(270) 526-3368
Mailing address
3741 LOGANSPORT RD, MORGANTOWN, KY 42261-8055
(270) 532-0211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1156950
KY
363LF0000X
Family Nurse Practitioner
Primary
3016249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156950
KENTUCKY BOARD OF NURSING
KY
Enumeration date
05/07/2020
Last updated
08/06/2021
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