Individual
KAITLIN RASHELLE MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 569-7983
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 569-7983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TP994
KY
Other
Enumeration date
04/07/2020
Last updated
12/15/2020
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