Individual
MR. TIMOTHY IRVIN NEIDIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5190
Mailing address
3306 RIDGEWOOD DR, NEW ALBANY, IN 47150-2343
(812) 981-8046
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
KY-R1602
KY
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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