Individual
DR. PAUL TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6801 DIXIE HWY, SUITE 134, LOUISVILLE, KY 40258-3913
(502) 447-4500
Mailing address
6801 DIXIE HWY, SUITE 134, LOUISVILLE, KY 40258-3913
(502) 447-4500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00133
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047475
ANTHEM BCBS ID #
KY
01
—
610992425
HUMANA ID #
KY
05
—
80001332
—
KY
Enumeration date
06/13/2006
Last updated
12/22/2008
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