Individual
DR. THEODORE BRUCE FELDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 610, LOUISVILLE, KY 40202-5700
(502) 588-4450
(502) 588-9539
Mailing address
401 E CHESTNUT ST, SUITE 600, LOUISVILLE, KY 40202-5700
(502) 588-4425
(502) 588-4427
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23752
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080890
—
IN
05
—
64237522
—
KY
01
—
92833
TRICARE
KY
Enumeration date
02/02/2006
Last updated
02/23/2016
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