Individual
KAITLIN MARIE ZAGAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3999 DUTCHMANS LN STE 6F, LOUISVILLE, KY 40207-4724
(502) 394-5678
(502) 394-5600
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100248600
—
KY
Enumeration date
04/05/2013
Last updated
10/11/2020
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