Provider Demographics
NPI:1376367128
Name:CAPPS, KALEE D (PA-C)
Entity type:Individual
Prefix:MS
First Name:KALEE
Middle Name:D
Last Name:CAPPS
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 1:2558 US HIGHWAY 119
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40977-7710
Mailing Address - Country:US
Mailing Address - Phone:606-269-5989
Mailing Address - Fax:
Practice Address - Street 1:2558 US HIGHWAY 119
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:KY
Practice Address - Zip Code:40977-7710
Practice Address - Country:US
Practice Address - Phone:606-269-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program