Monday, Tara

Monday, Tara is an individual health care provider with primary practice located at 7370 Turfway Rd Suite 280, Florence KY 41042-4895. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Monday, Tara can be contacted via phone (859) 212-4567.

Contact Information

Primary practice address
7370 Turfway Rd Suite 280 Florence KY 41042-4895
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 03485 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34.010565 Ohio
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 03485 Kentucky

Profile Details

NPI number 1063740249
LBN Legal business name Monday, Tara
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2009
Last updated Nov 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063740249 NPPES
Kentucky MEDICAID 7100207600

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