Individual
MRS. TIFFANY NICOLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 303, PADUCAH, KY 42003-3814
(270) 443-2900
(270) 443-7122
Mailing address
PO BOX 7626, PADUCAH, KY 42002-7626
(270) 443-2900
(270) 443-7122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1127
KY
363AM0700X
Medical Physician Assistant
PA1127
KY
Other
Enumeration date
05/06/2008
Last updated
10/27/2009
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