Individual
PAUL ALBERT TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 S FLOYD ST, LOUISVILLE, KY 40202-1840
(502) 629-2500
(502) 629-4445
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
47338
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201231030
—
IN
05
—
7100136930
—
KY
Enumeration date
03/28/2008
Last updated
02/10/2025
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