Individual
ALAN MATTHEW TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1413 N ELM ST, SUITE 204, HENDERSON, KY 42420-2768
(270) 830-9973
(270) 830-9975
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 631-2412
(270) 827-7558
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02004102A
IN
208600000X
Surgery Physician
Primary
04032
KY
208600000X
Surgery Physician
1876
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000793150
BCBS
IN
05
—
201119270
—
IN
Enumeration date
10/24/2006
Last updated
10/19/2016
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