Healthcare Provider Details

I. General information

NPI: 1780590042
Provider Name (Legal Business Name): BATES MILLER & SIMS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 JAY ST
STANFORD KY
40484-7511
US

IV. Provider business mailing address

100 JAY ST
STANFORD KY
40484-7511
US

V. Phone/Fax

Practice location:
  • Phone: 606-365-1547
  • Fax: 606-365-8380
Mailing address:
  • Phone: 606-365-1547
  • Fax: 606-365-8380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. TWANIA RENEE SNOW
Title or Position: BILLING MANAGER
Credential:
Phone: 606-365-1547