Individual
DR. TRACEY BLAIR KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3940 DUPONT CIRCLE, LOUISVILLE, KY 40207
(502) 895-1111
(502) 895-1085
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
207V00000X
Obstetrics & Gynecology Physician
Primary
36349
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64033855
—
KY
Enumeration date
04/14/2006
Last updated
12/07/2020
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