Provider Demographics
NPI:1013746072
Name:MOBLEY, CAITLIN E
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:E
Last Name:MOBLEY
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 1:1005 MURPHY LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40008-7360
Mailing Address - Country:US
Mailing Address - Phone:502-390-6225
Mailing Address - Fax:270-360-0840
Practice Address - Street 1:202 BISHOP LN
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-9266
Practice Address - Country:US
Practice Address - Phone:270-234-0003
Practice Address - Fax:270-360-0840
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator