Individual
KATELYN COOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9999 STATE ROUTE 764, WHITESVILLE, KY 42378-9701
(270) 903-2290
Mailing address
9999 STATE ROUTE 764, WHITESVILLE, KY 42378-9701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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