Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Snodgrass Derm, PLLC

Organization Family Nurse Practitioner · NPI 1619219581

Tina Snodgrass Derm, PLLC is a Family Nurse Practitioner in Beaver Dam, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.

Licensed in
KY
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1219 N Main St Ste 2
Beaver Dam, KY 42320-8955
Phone: (270) 926-0707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3002620 (KY)

Record details

NPI number1619219581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Snodgrass — President · (270) 929-5578
NPI enumeratedMarch 19, 2013
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address1219 N Main St Ste 2, Beaver Dam, KY 42320-8955

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