Individual
JENNIFER TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
820 EASTERN BY PASS, RICHMOND, KY 40475
(859) 624-8808
Mailing address
820 EASTERN BY PASS, RICHMOND, KY 40475
(859) 624-8808
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
288909
KY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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