Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 39104 | KY |
NPI | 1033215520 |
---|---|
Provider Name | Jeffrey A Tuvlin |
First Address | Louisville, KY 40258-3913 |
Second Address | Louisville, KY 40207-4702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64079734 | (05) | KY |
H39855 | (02) | KY |