Individual
TIESHA RENEA ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 HOLLY LAKE DR, LOUISVILLE, KY 40291-3024
(502) 794-3861
Mailing address
6911 HOLLY LAKE DR, LOUISVILLE, KY 40291-3024
(502) 794-3861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1151972
KY
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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