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Individual

TAMMY L ENGLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
255 CHURCH ST, SUITE 103, PIKEVILLE, KY 41501-3476
(606) 218-6011
(606) 218-6082
Mailing address
255 CHURCH ST, SUITE103, PIKEVILLE, KY 41501-3476
(606) 218-6011
(606) 218-6082

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6449P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000691065
BCBS
KY
01
1629114707
EKAHC GROUP NPI NUMBER
KY
05
7100136790
KY
01
7100146710
MEDICAID PRIMARY CARE GROUP NUMBER EKAHC
KY
Enumeration date
05/27/2010
Last updated
04/25/2011
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