Organization
MAIN STREET PRIMARY CARE & AESTHETICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA GIFFORD (APRN/OWNER)
(606) 758-7878
Entity
Organization
Contact information
Practice address
2003 OLD MAIN ST, MAYSVILLE, KY 41056-8928
(606) 759-7878
Mailing address
870 WOODLAND DR, MAYSVILLE, KY 41056-9604
(606) 584-5658
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
03/23/2026
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