Individual
CAITLYN JERVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2643 KING KELLY COLEMAN HWY, WAYLAND, KY 41501
(606) 230-2255
Mailing address
140 ADAMS LN STE 300, PIKEVILLE, KY 41501-3088
(606) 230-2255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
03/14/2022
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