Tina Banks, RN

Individual provider Active NPI Registered Nurse · Pikeville, KY

NPI 1194428771 · NPPES record last updated Mar 23, 2023

Key facts

NPI
1194428771
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1081272 (KY)
Practice address
119 River Dr
Pikeville, KY 41501-1685
Phone
(606) 437-5500
Fax
(606) 433-9690
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1081272KYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1081272 KY Yes

Addresses

Primary practice location

119 River Dr
Pikeville, KY 41501-1685

Mailing address

119 River Dr
Pikeville, KY 41501-1685
Phone (606) 437-5500

Other providers in Pikeville, KY

All providers in Pikeville, KY · Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.