Individual
TIMOTHY A FEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Mailing address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01043869A
IN
207K00000X
Allergy & Immunology Physician
Primary
28022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036520
—
IN
01
—
50001588
PASSPORT HEALTH PLAN
—
05
—
64280225
—
KY
Enumeration date
07/28/2005
Last updated
03/15/2021
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