Individual
KATIE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12204 SHELBYVILLE RD, MIDDLETOWN, KY 40243-1450
(502) 200-5228
Mailing address
12116 BAY RUN DR, LOUISVILLE, KY 40245-6402
(502) 802-4440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4038586
KY
Other
Enumeration date
05/06/2025
Last updated
09/15/2025
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