Individual
KAITLYN SHRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-9057
(859) 323-9502
Mailing address
473 W 12TH AVE # DHLRI201, COLUMBUS, OH 43210-1252
(614) 247-7701
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TP527
KY
207RP1001X
Pulmonary Disease Physician
Primary
57998
KY
207RP1001X
Pulmonary Disease Physician
TP527
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
10/25/2023
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