Organization
JOSEPH A CLAN JR PSC
Active
Other names
TenderCare Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ALVIN CLAN JR. M.D. (PRESIDENT)
(502) 966-3918
Entity
Organization
Contact information
Practice address
5211 COMMERCE CROSSING DR, LOUISVILLE, KY 40229-2183
(502) 966-3918
(502) 969-3665
Mailing address
5211 COMMERCE CROSSING DR, LOUISVILLE, KY 40229-2183
(502) 966-3918
(502) 969-3665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22815
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64228158
—
KY
Enumeration date
04/04/2006
Last updated
08/22/2020
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