Individual
DR. DEAN WILLIAM TINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
620 WESTPORT RD STE A, ELIZABETHTOWN, KY 42701-4408
(270) 769-9844
(270) 769-2205
Mailing address
620 WESTPORT RD STE A, ELIZABETHTOWN, KY 42701-4408
(270) 769-9844
(270) 769-2205
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051394
ANTHEM/BCBS
KY
Enumeration date
07/17/2006
Last updated
07/09/2007
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