Organization
K TIERNEY LANHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN TIERNEY LANHAM APRN (OWNER)
(502) 552-8597
Entity
Organization
Contact information
Practice address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(812) 491-1307
(812) 492-6498
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100703560
—
KY
Enumeration date
11/06/2020
Last updated
04/12/2022
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