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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TISA MARIE REVELS, SA-C, KCSA

Active Sole Proprietor

MRS. TISA MARIE REVELS, SA-C, KCSA is a Clinical Chemistry Technician healthcare provider located in LOUISVILLE, Kentucky. NPI 1750424859 is currently active in the NPPES registry. Verify at CMS.

Clinical Chemistry Technician · LOUISVILLE, KY

Registration Details

NPI Number
1750424859
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2007 (19.452182023127 yrs)
Last Updated
Mar 3, 2016
Licenses
SA029 (KY)
SA029 (KY)
Sole Proprietor
Yes

Practice Information

Address
4001 KRESGE WAY
SUITE 200
LOUISVILLE, KY, 402074640
Browse KY providers · Browse ZIP 40207
Phone
5028951995
Fax
5028956479
Primary Specialty
Clinical Chemistry Technician
246ZC0007X
Additional Specialty
Clinical Chemistry Technician

Other Clinical Chemistry Technician Providers in LOUISVILLE, KY

Name Credential NPI
MRS. CLAUDIA PAULETTE SMITH CSA 1922092204
KENNETH BRIAN COX KCSA 1730243239
MR. JAIME E CLAROS KCSA 1154485407
MRS. SUMMER RENEA LEWIS CST,CFA 1487792040
MS. FELICIA GAIL CATRON CFA 1396889978
WILLIAM D CRAVENS KCSA 1891919122
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.