Reid, Tiffany N

Reid, Tiffany N is an individual health care provider with primary practice located at 3 Audubon Plaza Dr Ste. 560, Louisville KY 40217-1300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Reid, Tiffany N can be contacted via phone (502) 636-8004.

Contact Information

Primary practice address
3 Audubon Plaza Dr Ste. 560 Louisville KY 40217-1300
Phone: (502) 636-8004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10001296A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001296A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X TC024 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1644 Kentucky

Profile Details

NPI number 1710265053
LBN Legal business name Reid, Tiffany N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Dec 2nd, 2011 - about 14 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 1710265053 NPPES
Kentucky Other K021770 MEDICARE PTAN- NORTON CTS

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