Provider Demographics
NPI:1710157482
Name:CAIN, CATHERINE BRETT (CAC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:BRETT
Last Name:CAIN
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 BRUSHUP LN
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7767
Mailing Address - Country:US
Mailing Address - Phone:513-373-5021
Mailing Address - Fax:
Practice Address - Street 1:7413 US 42
Practice Address - Street 2:SUITE 3
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1999
Practice Address - Country:US
Practice Address - Phone:513-373-5021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-09
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAC002171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist