Individual
DR. TIMOTHY T MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2443 SIR BARTON WAY STE 275, LEXINGTON, KY 40509
(812) 962-7890
(812) 476-6162
Mailing address
7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
(812) 962-7890
(812) 476-6162
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
231723
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
48908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566392
—
NY
05
—
7100428760
—
KY
Enumeration date
01/03/2006
Last updated
08/10/2018
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