Secor, Tami

Secor, Tami is an individual health care provider with primary practice located at 4604 Lowe Rd , Louisville KY 40220-1514. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Secor, Tami can be contacted via phone (502) 451-1401.

Contact Information

Primary practice address
4604 Lowe Rd Louisville KY 40220-1514
Phone: (502) 451-1401
Fax: (610) 612-3302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35011 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35011 Kentucky

Profile Details

NPI number 1336185354
LBN Legal business name Secor, Tami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336185354 NPPES
Kentucky MEDICAID 64045792

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