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Individual

TINA F SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4801 OLYMPIA PARK PLZ, SUITE 2200, LOUISVILLE, KY 40241-2090
(502) 423-9595
(502) 719-0161
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31256
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044684
BCBS
KY
01
000000765748
ANTHEM - WS
KY
05
1058742
KY
01
134800
SIHO - WS
KY
01
160029909
RR MEDICARE
KY
01
50037682
PASSPORT - WOMEN'S SPECIALISTS
KY
01
610679864F
HUMANA
KY
05
64312564
KY
Enumeration date
12/02/2005
Last updated
01/04/2013
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