Individual
MONICA TINSLEY VINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
Mailing address
240 PEPPERS MILL DR, PADUCAH, KY 42001-8879
(270) 444-8465
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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