Individual
THOMAS N. TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 300, OWENSBORO, KY 42303-9774
(270) 417-7700
(270) 417-7705
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
23651
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521690
—
IN
05
—
64779473
—
KY
Enumeration date
07/21/2006
Last updated
05/03/2019
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