Individual
TINA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 RIVER DR, PIKEVILLE, KY 41501-1685
(606) 437-5500
(606) 433-9690
Mailing address
119 RIVER DR, PIKEVILLE, KY 41501-1685
(606) 437-5500
(606) 433-9690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1081272
KY
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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