Individual
KATHY J GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 EAST MAIN ST, SOMERSET, KY 42503
(606) 341-1160
Mailing address
202 EAST MAIN ST, SOMERSET, KY 42503
(606) 341-1160
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1175028
KY
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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