Provider Demographics
NPI:1801130687
Name:GARCIA, KATHERINE S (APRN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:S
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:71 MACK WALTERS RD
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-1751
Mailing Address - Country:US
Mailing Address - Phone:502-633-7337
Mailing Address - Fax:502-633-7338
Practice Address - Street 1:71 MACK WALTERS RD
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1751
Practice Address - Country:US
Practice Address - Phone:502-633-7337
Practice Address - Fax:502-633-7338
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3007777363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics