Healthcare Provider Details

I. General information

NPI: 1548898737
Provider Name (Legal Business Name): KAITLYN FRENCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAITLYN MILLER

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FOXGLOVE DR
MT STERLING KY
40353-9769
US

IV. Provider business mailing address

PO BOX 790
ASHLAND KY
41105-0790
US

V. Phone/Fax

Practice location:
  • Phone: 859-498-6574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number293457
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: