Basic Information
| Provider Information | |||||||||
| NPI: | 1134428808 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATKINSON | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | HAIL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 MEDICAL HEIGHTS DR | ||||||||
| Address2: | STE A | ||||||||
| City: | FRANKFORT | ||||||||
| State: | KY | ||||||||
| PostalCode: | 406014137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022235758 | ||||||||
| FaxNumber: | 5022230047 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 MEDICAL HEIGHTS DR | ||||||||
| Address2: | STE A | ||||||||
| City: | FRANKFORT | ||||||||
| State: | KY | ||||||||
| PostalCode: | 406014137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022235758 | ||||||||
| FaxNumber: | 5022230047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2011 | ||||||||
| LastUpdateDate: | 06/29/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208800000X | 49140 | KY | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.