Individual
TIFFANY M MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1709 KY ROUTE 321, SUITE 3, PRESTONSBURG, KY 41653-9097
(606) 886-8546
(606) 886-8548
Mailing address
1709 KY ROUTE 321, SUITE 3, PRESTONSBURG, KY 41653-9097
(606) 886-8546
(606) 886-8548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100057340
—
KY
Enumeration date
05/09/2007
Last updated
09/30/2015
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