# DR. FRED THOMAS TUTTLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033276225
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19911 | KY | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 07/02/2009

## 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 | — |