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Individual

TRACY LYNNE VANMETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 AUDUBON PLAZA DR # 276, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43168
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200987310
IN
05
7100122720
KY
Enumeration date
03/08/2007
Last updated
11/15/2024
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