Individual
TRACI M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9616 DIXIE HWY, LOUISVILLE, KY 40272-3440
(502) 937-1717
(502) 935-4921
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 937-1717
(502) 935-4921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64447329
—
KY
Enumeration date
06/08/2006
Last updated
04/09/2013
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