NPI 1083174866

Tara Anderson

Practitioner Prevention Professional Maysville, KY

Practice location

Address: 611 Forest Ave, Maysville, KY 41056-1411
Phone: (606) 564-4016
Fax: (606) 564-8288

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 000000 (KY)

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Registry record

NPI: 1083174866
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2019
Record last updated: 20 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.