Individual
RANDALL TROY TINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
58 CITATION LN, CAMPBELLSBURG, KY 40011-7590
(502) 532-7341
(502) 532-0127
Mailing address
58 CITATION LN, CAMPBELLSBURG, KY 40011-7590
(502) 639-0599
(502) 532-0127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015245
KY
Other
Enumeration date
05/06/2020
Last updated
08/16/2021
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