Individual
MIRANDA TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MIDDLE SCHOOL RD, ALBANY, KY 42602-7931
(844) 435-0900
(606) 858-4607
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010187
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010187
LICENSE NUMBER
KY
05
—
7100403030
—
KY
Enumeration date
03/18/2016
Last updated
06/15/2021
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