Individual
KAITLYN GERRETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3618
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003144A
IN
363A00000X
Physician Assistant
Primary
PA2548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372005
—
OH
05
—
300046435
—
IN
05
—
7100633110
—
KY
Enumeration date
09/12/2019
Last updated
04/03/2025
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