Organization
KENTUCKY INTEGRATIVE AUTISM SPECIALIST
Active
Other names
KY Integrative Autism & Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BANKS APRN (NP)
(859) 592-4992
Entity
Organization
Contact information
Practice address
416 MILLERSBURG RD, PARIS, KY 40361-2145
(859) 592-4992
Mailing address
1750 THATCHERS MILL RD, PARIS, KY 40361-9110
(859) 592-4992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/02/2025
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