Individual
TAMI SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
(610) 612-3302
Mailing address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
(610) 612-3302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35011
KY
208000000X
Pediatrics Physician
35011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64045792
—
KY
Enumeration date
06/20/2006
Last updated
12/02/2020
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