Individual
TIMOTHY LEE MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(589) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
M23-690138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
06/27/2023
Last updated
06/27/2023
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