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Individual
DR. FRED THOMAS TUTTLE
Active
Individual
DR. FRED THOMAS TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19911
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206950
ANTHEM BLUE CROSS
—
01
—
010619500
BLACK LUNG
—
01
—
080177443
RAILROAD MEDICARE
—
01
—
1001684
METRACOMP
—
01
—
1155576
PASSPORT
KY
01
—
1195470
CHA HEALTH
—
01
—
2438914000
PASSPORT ADVANTAGE
KY
01
—
34346
UNITED HEALTHCARE
—
01
—
40582791500
CAREWORKS
—
01
—
443632
AETNA
—
01
—
610901982
BENESIGHT
—
01
—
6109019820030
CIGNA
—
01
—
610901982E
HUMANA
—
05
—
64199110
—
KY
01
—
65917551
KENPAC
KY
01
—
P00020977
RAILROAD RETIREMENT
—
Enumeration date
01/03/2007
Last updated
07/02/2009
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