Individual
BRADFORD L TANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510
Mailing address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA08261200
NJ
207W00000X
Ophthalmology Physician
4301113410
MI
207W00000X
Ophthalmology Physician
Primary
TP488
KY
207WX0120X
Cornea and External Diseases Specialist Physician
TP488
KY
Other
Enumeration date
05/31/2007
Last updated
06/18/2025
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