Individual
TIFFANY AMANDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5000 KY ROUTE 321 STE 3124, PRESTONSBURG, KY 41653-9113
(606) 889-3659
(606) 886-7615
Mailing address
5000 KY ROUTE 321 STE 3124, PRESTONSBURG, KY 41653-9113
(606) 889-3659
(606) 886-7615
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03982
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100409610
—
KY
Enumeration date
03/09/2012
Last updated
09/16/2025
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