Individual
TARA L LYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1532 LONE OAK RD, SUITE 415, PADUCAH, KY 42003-7913
(270) 442-0103
(270) 442-0109
Mailing address
1532 LONE OAK RD STE 415, PADUCAH, KY 42003-7943
(270) 442-0103
(270) 442-0109
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
3005317
KY
364S00000X
Clinical Nurse Specialist
3005317
KY
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
3005317
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100141380
—
KY
Enumeration date
09/19/2007
Last updated
10/23/2024
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