Individual
MS. TAMMY GWYN HOSKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
201 S MAIN ST, HARRODSBURG, KY 40330-1634
(859) 734-3155
(859) 734-3159
Mailing address
201 S MAIN ST, HARRODSBURG, KY 40330-1634
(859) 734-3155
(859) 734-3159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1205DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205DT
STATE LICENSE NUMBER
KY
01
—
203382931
FEDERAL TAX I.D. NUMBER
KY
05
—
77012052
—
KY
Enumeration date
07/06/2006
Last updated
04/01/2009
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