Individual
TAMARA MICHELE PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
4611 N DIXIE HWY STE 100, ELIZABETHTOWN, KY 42701-8828
(502) 369-1654
(502) 861-7287
Mailing address
740 SOUTHLAND DR, RADCLIFF, KY 40160-9606
(904) 328-9788
(502) 861-7287
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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