Provider Demographics
NPI:1275140949
Name:BANKS, ALMA (TCM)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:TCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 DEWEESE ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1921
Mailing Address - Country:US
Mailing Address - Phone:859-785-8585
Mailing Address - Fax:859-888-9980
Practice Address - Street 1:146 DEWEESE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1921
Practice Address - Country:US
Practice Address - Phone:859-785-8585
Practice Address - Fax:859-888-9980
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker