Individual
DR. DANIEL M TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 KENTUCKY AVE, STE 401, PADUCAH, KY 42003-3827
(270) 444-8200
(270) 444-8398
Mailing address
2601 KENTUCKY AVE, STE 401, PADUCAH, KY 42003-3827
(270) 444-8200
(270) 444-8398
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
30632
KY
2086S0105X
Surgery of the Hand (Surgery) Physician
30632
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
30632
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200472
BLUE CROSS
KY
01
—
164277500
US DEPT OF LABOR
—
01
—
240006752
RAILROAD MEDICARE
—
05
—
64306327
—
KY
Enumeration date
07/19/2006
Last updated
11/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us