Individual
KAITLYN COOPER MOHLENBROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9905 SHELBYVILLE RD, LOUISVILLE, KY 40223-2907
(502) 425-5166
Mailing address
9905 SHELBYVILLE RD, LOUISVILLE, KY 40223-2907
(502) 425-5166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-177065
AL
363LF0000X
Family Nurse Practitioner
Primary
4010937
KY
Other
Enumeration date
10/12/2023
Last updated
07/25/2024
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