Individual
PATRICK TULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 ROSE ST # MN150, LEXINGTON, KY 40536
(859) 323-0101
Mailing address
800 ROSE ST # MN150, LEXINGTON, KY 40536-0293
(618) 841-6282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1954
KY
363AM0700X
Medical Physician Assistant
PA1954
KY
363AS0400X
Surgical Physician Assistant
PA1954
KY
Other
Enumeration date
11/25/2014
Last updated
01/30/2025
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