Individual
TIMOTHY J. KAPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
47 CAVALIER BLVD, STE 100, FLORENCE, KY 41042-3970
(859) 647-7800
(859) 647-7803
Mailing address
47 CAVALIER BLVD, STE 100, FLORENCE, KY 41042-3970
(859) 647-7800
(859) 647-7803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-00-0629
OH
363A00000X
Physician Assistant
Primary
PA089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000899
—
KY
Enumeration date
06/15/2005
Last updated
07/08/2007
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