Individual
LATASHA E. GILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 LINDSEY WILSON STREET, COLUMBIA, KY 42728-1223
(844) 435-0900
(270) 858-4607
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006533
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12165683
CAQH
—
05
—
7100141750
—
KY
Enumeration date
11/01/2010
Last updated
07/13/2023
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