Individual
DR. TIFFANY ELLEN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-4305
(502) 588-9490
(855) 332-3936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201327050 (KOHMG)
—
IN
05
—
300037378
—
IN
05
—
7100248250
—
KY
05
—
7100248250 (KOHMG)
—
KY
01
—
K168071
MEDICARE
KY
Enumeration date
03/28/2012
Last updated
02/09/2023
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