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NPI Code Detail

MEDICARE: TIFFANY DOWNS CMF

MEDICARE: TIFFANY DOWNS CMF
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
1224900000XMastectomy Fitter

General Provider Information

NPI Number : 1992482541
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY DOWNS CMF
Provider Business Mailing Address
First Line : 4108 SAINT CHARLES LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3353
Country : US
Telephone Number : 502-210-3714
Fax Number :
Provider Business Practice Location Address
First Line : 1707 MELLWOOD AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-1743
Country : US
Telephone Number : 502-509-5156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2023
Last Update Date : 07/05/2023

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Directions to “ TIFFANY DOWNS CMF” Practice Location

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