Individual
DR. TADD NICHOLAS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8141
Mailing address
PO BOX 6749, LOUISVILLE, KY 40206-0749
(502) 899-7716
(502) 899-7648
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
48445
KY
207P00000X
Emergency Medicine Physician
Primary
44330
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100137810
—
KY
Enumeration date
04/01/2008
Last updated
03/26/2022
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