Healthcare Provider Details

I. General information

NPI: 1003217167
Provider Name (Legal Business Name): TINSLEY HEALTH CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 09/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N RACE ST
GLASGOW KY
42141-2913
US

IV. Provider business mailing address

511 N RACE ST
GLASGOW KY
42141-2913
US

V. Phone/Fax

Practice location:
  • Phone: 270-629-6060
  • Fax: 270-629-6061
Mailing address:
  • Phone: 270-629-6060
  • Fax: 270-629-6061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: LISA K CONNOR
Title or Position: OFFICE MANAGER
Credential:
Phone: 270-629-6060