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Individual

DR. JAMES B TABLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6225 W. HWY 146, STE 1, CRESTWOOD, KY 40014
(502) 822-3499
(502) 822-1564
Mailing address
6225 W. HWY. 146, STE 1, CRESTWOOD, KY 40014
(502) 822-3499
(502) 822-1564

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24856
KY
2084P0805X
Geriatric Psychiatry Physician
01042201A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100357460A
IN
01
50065924
PASSPORT HEALTH PLAN
KY
05
64248560
KY
Enumeration date
12/07/2006
Last updated
09/14/2015
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