Individual
MRS. TIFFANY RENEE MCKIRNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1005 BELLEFONTAINE AVE STE 225, LIMA, OH 45804-2896
(419) 998-8244
(419) 998-8243
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085003049
IL
363AS0400X
Surgical Physician Assistant
10000963A
IN
363AS0400X
Surgical Physician Assistant
Primary
50003777
OH
Other
Enumeration date
09/27/2007
Last updated
01/04/2021
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