Individual
MARQUEL TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2091 N BEND RD, SUITE 100, HEBRON, KY 41048-9691
(859) 817-1370
Mailing address
2509 ENID ST, CRESCENT SPRINGS, KY 41017-1508
(859) 322-9984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1002
KY
Other
Enumeration date
08/08/2007
Last updated
09/07/2018
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