Individual
TARA J. NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
246 KY ROUTE 979, HAROLD, KY 41635-9046
(606) 478-2200
(866) 310-9947
Mailing address
1709 KY ROUTE 321, PRESTONSBURG, KY 41653-9097
(606) 886-8546
(606) 886-8548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41205
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004770
—
KY
Enumeration date
11/16/2006
Last updated
09/12/2024
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