Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 23651 | KY |
NPI | 1235159021 |
---|---|
Provider Name | Thomas N. Tabb |
First Address | Owensboro, KY 42304-3229 |
Second Address | Owensboro, KY 42303-9774 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 03/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200521690 | (05) | IN |
64779473 | (05) | KY |
A97142 | (02) |