Healthcare Provider Details

I. General information

NPI: 1366356156
Provider Name (Legal Business Name): KATELYNN FAITH DUNBAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATELYNN FAITH OLENIK

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 N EAGLE CREEK DR
LEXINGTON KY
40509-9087
US

IV. Provider business mailing address

3708 CAMARGO HTS
CAMARGO KY
40353-8812
US

V. Phone/Fax

Practice location:
  • Phone: 859-967-5705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: