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Individual

DR. TIMOTHY STEWART SPAULDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1023 NEW MOODY LN, SUITE 103, LA GRANGE, KY 40031-9177
(502) 222-5558
(502) 222-3040
Mailing address
2700 STANLEY GAULT PKWY, SUITE 129, LOUISVILLE, KY 40223-5132
(502) 253-4917
(502) 489-5751

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25275
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
25275
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64252752
KY
Enumeration date
06/21/2006
Last updated
12/03/2020
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