Individual
ANGELICA TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
624 MAYSVILLE RD, MOUNT STERLING, KY 40353-9767
(859) 497-4144
(859) 497-4137
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2911
KY
363A00000X
Physician Assistant
TC098
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100778350
—
KY
Enumeration date
09/17/2021
Last updated
06/29/2022
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