Individual
TIFFANY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 US 60, ASHLAND, KY 41102
(606) 475-0200
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(160) 632-9858
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
299743
KY
Other
Enumeration date
06/18/2021
Last updated
07/03/2025
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