Individual
TIFFANY S BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 E BROADWAY, SUITE 310, LOUISVILLE, KY 40202-3700
(502) 629-4500
(502) 629-4501
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43772
KY
Other
Enumeration date
07/28/2008
Last updated
09/17/2021
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