Individual
KAREN S. GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
3085 LAKECREST CIR, LEXINGTON, KY 40513-1707
(859) 258-8600
(859) 258-8610
Mailing address
3085 LAKECREST CIR, LEXINGTON, KY 40513-1707
(859) 258-8600
(859) 258-8610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA185
KY
363AM0700X
Medical Physician Assistant
PA185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
ASC MEDICAID GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95001855
—
KY
01
—
970020919
RR MEDICARE PIN
KY
01
—
ASC1019
ASC MEDICARE GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
10/02/2006
Last updated
03/30/2016
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