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Tiffany N Reid, PA
Surgical Physician Assistant in Louisville, Kentucky
NPI 1710265053

Tiffany N Reid is a Surgical Physician Assistant based in Louisville, KY and is specialized in Surgical. Tiffany N Reid practices in Louisville, KY and has the professional credentials of PA. The NPI Number for Tiffany N Reid is 1710265053 and holds a License No. PA1644 (Kentucky).

The current practice location address for Tiffany N Reid is 3 Audubon Plaza Dr, Louisville, KY and can be reached out via phone at 502-636-8004.

Location: 3 Audubon Plaza Dr, Louisville, KY, 40295-0202
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Provider Profile Details
NPI Number
1710265053
Provider Name
Tiffany N Reid
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3 Audubon Plaza Dr, Louisville, KY, 40295-0202
Phone Number
502-636-8004
Fax Number
Provider Enumeration Date
08/03/2011
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K021770 01 KY MEDICARE PTAN- NORTON CTS
institution
Provider Business Practice Location Address Details
Address
3 Audubon Plaza Dr
City
State
Zip
40217-1300
Phone Number
502-636-8004
Fax Number
person
Provider Business Mailing Address Details
Address
3 Audubon Plaza Dr
City
State
Zip
40217-1300
Phone Number
502-636-8004
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10001296A (Indiana)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA1644 (Kentucky)
Definition
Definition to come...
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