Individual
TERRY A MCDANNOLD
Active
Individual
TERRY A MCDANNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
023042
KY
207R00000X
Internal Medicine Physician
Primary
023042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175984
ANTHEM
—
01
—
021036000
FEDERAL BLACK LUNG
—
01
—
0420592
UNITED HEALTHCARE
—
05
—
0584274
—
OH
01
—
0633858
AETNA
—
05
—
200916600
—
IN
01
—
310674100
US DEPT OF LABOR
—
01
—
50006695
PASSPORT
—
01
—
50010291
PASSPORT
—
05
—
64230428
—
KY
Enumeration date
08/22/2005
Last updated
09/10/2018
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