Provider Demographics
NPI:1437104759
Name:ALL WOMAN, PLLC
Entity Type:Organization
Organization Name:ALL WOMAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:TILLERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-341-5550
Mailing Address - Street 1:PO BOX 17510
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41017-0510
Mailing Address - Country:US
Mailing Address - Phone:859-341-5550
Mailing Address - Fax:859-344-3782
Practice Address - Street 1:1955 DIXIE HWY
Practice Address - Street 2:STE C
Practice Address - City:FT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-2792
Practice Address - Country:US
Practice Address - Phone:859-341-5550
Practice Address - Fax:859-344-3782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2285718Medicaid
CH4498OtherRR MEDICARE
CH4498OtherRR MEDICARE