Provider Demographics
NPI:1841187929
Name:HOWARD, KATLYN
Entity type:Individual
Prefix:
First Name:KATLYN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CONN ST
Mailing Address - Street 2:
Mailing Address - City:IVEL
Mailing Address - State:KY
Mailing Address - Zip Code:41642-9406
Mailing Address - Country:US
Mailing Address - Phone:606-207-8550
Mailing Address - Fax:
Practice Address - Street 1:71 CONN ST
Practice Address - Street 2:
Practice Address - City:IVEL
Practice Address - State:KY
Practice Address - Zip Code:41642-9406
Practice Address - Country:US
Practice Address - Phone:606-207-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker