Individual
TIFFANY ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2301 TERRA CROSSING BLVD, SUITE 103, LOUISVILLE, KY 40245-4994
(502) 410-0191
(502) 890-5177
Mailing address
2301 TERRA CROSSING BLVD, STE 103, LOUISVILLE, KY 40245-4994
(502) 410-0191
(502) 890-5177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1075
KY
Other
Enumeration date
11/20/2008
Last updated
08/05/2016
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