Individual
DR. TIFFANY NICOLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-0390
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47836
KY
2086S0102X
Surgical Critical Care Physician
47836
KY
2086S0120X
Pediatric Surgery Physician
Primary
47836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003088
—
IN
05
—
7100354190
—
KY
Enumeration date
07/03/2008
Last updated
10/11/2020
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