Individual
DR. FRED THOMAS TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4106 MASON WOODS LN, OWENSBORO, KY 42303-7552
(270) 993-3999
Mailing address
4106 MASON WOODS LN, OWENSBORO, KY 42303-7552
(270) 993-3999
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
BLUEGRASS FAMILY HEALTH
—
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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