Individual
SHYLA KOETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S. LIMESTONE, CTW 304, LEXINGTON, KY 40536-0293
(859) 323-2834
(859) 257-2605
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/20/2026
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