Individual
DR. FRED P SEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 KRESGE WAY, SUITE 56, LOUISVILLE, KY 40207-4683
(502) 895-7265
(502) 897-2113
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000617807
ANTHEM
KY
05
—
100373800
—
IN
05
—
64155476
—
KY
01
—
P00719574
RAILROAD MEDICARE
KY
Enumeration date
12/28/2005
Last updated
12/13/2013
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