Individual
TAMMY D SUTTON-CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8521
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006985
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100203950
—
KY
Enumeration date
06/30/2011
Last updated
12/03/2021
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