Individual
TAMMY LADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 KIRKHAM TRCE, LOUISVILLE, KY 40299-4668
(502) 767-2114
Mailing address
1116 KIRKHAM TRCE, LOUISVILLE, KY 40299-4668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1092123
KY
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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