Healthcare Provider Details

I. General information

NPI: 1396889978
Provider Name (Legal Business Name): FELICIA GAIL CATRON CFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FELICIA GAIL BOGAR CFA

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 KRESGE WAY SUITE 51
LOUISVILLE KY
40207-4660
US

IV. Provider business mailing address

PO BOX 950248
LOUISVILLE KY
40295-0248
US

V. Phone/Fax

Practice location:
  • Phone: 502-259-5955
  • Fax: 502-259-5953
Mailing address:
  • Phone: 502-253-1035
  • Fax: 502-253-1037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License NumberSA146
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: