Individual
DR. TERESA DAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1234 WOODLAND DR, ELIZABETHTOWN, KY 42701-2767
(270) 769-1371
(270) 737-5870
Mailing address
PO BOX 1476, ELIZABETHTOWN, KY 42702-1476
(270) 769-1371
(270) 737-5870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052162
BCBS
KY
01
—
1048860
PASSPORT
KY
05
—
64242035
—
KY
Enumeration date
07/28/2006
Last updated
07/08/2007
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