Individual
KATELYN NEAL GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
219 MEADER ST, CAMPBELLSVILLE, KY 42718-2639
(270) 789-6158
(270) 789-6171
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 465-3561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC023
KY
Other
Enumeration date
09/13/2024
Last updated
10/30/2025
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