Provider Demographics
NPI:1316317316
Name:HOWELL, KAYLEE GABHART (PA-C)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:GABHART
Last Name:HOWELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 NATURE TRL STE 3
Mailing Address - Street 2:
Mailing Address - City:RADCLIFF
Mailing Address - State:KY
Mailing Address - Zip Code:40160-9111
Mailing Address - Country:US
Mailing Address - Phone:270-351-2323
Mailing Address - Fax:270-351-8031
Practice Address - Street 1:75 NATURE TRL STE 3
Practice Address - Street 2:
Practice Address - City:RADCLIFF
Practice Address - State:KY
Practice Address - Zip Code:40160-9111
Practice Address - Country:US
Practice Address - Phone:270-351-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-02
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA2558363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical