Individual
TAMARA COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
210 LINDSEY WILSON ST, COLUMBIA, KY 42728-1298
(127) 038-4813
Mailing address
210 LINDSEY WILSON ST, COLUMBIA, KY 42728-1298
(127) 038-4813
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
1136598
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136598
OTHER
KY
Enumeration date
04/23/2021
Last updated
04/23/2021
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