Provider Demographics
NPI:1487879474
Name:HINKLE, S GAYLE (ARNP)
Entity type:Individual
Prefix:
First Name:S
Middle Name:GAYLE
Last Name:HINKLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 FINANCIAL PL STE 100
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-4470
Mailing Address - Country:US
Mailing Address - Phone:270-769-0110
Mailing Address - Fax:270-765-6953
Practice Address - Street 1:103 FINANCIAL PL STE 100
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-4470
Practice Address - Country:US
Practice Address - Phone:270-769-0110
Practice Address - Fax:270-765-6953
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4208P363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics