Individual
KATHLEEN TIERNEY LANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 552-8597
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013063
KY
363LF0000X
Family Nurse Practitioner
Primary
3013063
KY
363LP2300X
Primary Care Nurse Practitioner
3013063
KY
Other
Enumeration date
07/18/2019
Last updated
10/16/2024
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