Individual
TAMERA L TOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1300 E NEW CIRCLE RD STE 160, LEXINGTON, KY 40505-4256
(859) 309-0377
(859) 309-0381
Mailing address
1300 E NEW CIRCLE RD STE 160, LEXINGTON, KY 40505-4256
(859) 309-0377
(859) 309-0381
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000894820
ANTHEM (GROUP)
KY
01
—
000000894822
ANTHEM
KY
01
—
1136817
AMERICAN SPECIALITY HEALTH
KY
01
—
1306258488
NPI (GROUP)
KY
01
—
1912212523
NPI (INDIVIDUAL)
KY
01
—
316260
COVENTRY CARES OF KY
KY
01
—
50080990
PASSPORT
KY
05
—
7100186170
—
KY
01
—
7100299290
MEDICAID (GROUP)
KY
01
—
757308
OPTUMHEALTH
KY
01
—
K136410
MEDICARE - PTAN (GROUP)
KY
01
—
K136411
MEDICARE - PTAN (INDIVIDUAL)
KY
Enumeration date
08/09/2010
Last updated
06/21/2022
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