Individual
MISS CAITLIN MARIE MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, RD, LD
Contact information
Practice address
960 S 4TH ST, LOUISVILLE, KY 40203-3252
(502) 676-7550
Mailing address
960 S 4TH ST, LOUISVILLE, KY 40203-3252
(502) 676-7550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2590
KY
163W00000X
Registered Nurse
1172802
KY
363LA2200X
Adult Health Nurse Practitioner
4048050
KY
Other
Enumeration date
11/19/2015
Last updated
03/02/2026
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