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NPI Code Detail

MEDICARE: ALL WOMAN, PLLC

MEDICARE: ALL WOMAN, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2207V00000XObstetrics & Gynecology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CH4498OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437104759
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL WOMAN, PLLC
Provider Business Mailing Address
First Line : PO BOX 17510
Second Line :
City : COVINGTON
State : KY
Zip : 41017-0510
Country : US
Telephone Number : 859-341-5550
Fax Number : 859-344-3782
Provider Business Practice Location Address
First Line : 1955 DIXIE HWY
Second Line : STE C
City : FT WRIGHT
State : KY
Zip : 41011-2792
Country : US
Telephone Number : 859-341-5550
Fax Number : 859-344-3782
Authorized Official
Title or Position : OWNER
Name : DR. APRIL M TILLERY
Credential : MD
Telephone Number : 859-341-5550
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/28/2012

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Directions to “ALL WOMAN, PLLC ” Practice Location

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