Individual
TISHA DICHRISTOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9100 SHELBYVILLE RD, LOUISVILLE, KY 40222-5153
(502) 318-1863
Mailing address
2518 N GRAYSTONE CIR, WICHITA, KS 67228-8039
(405) 921-0903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TMP-161431
KS
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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