Spaulding, Timothy Stewart

Spaulding, Timothy Stewart is an individual health care provider with primary practice located at 1023 New Moody Ln Suite 103, La Grange KY 40031-9177. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Spaulding, Timothy Stewart can be contacted via phone (502) 222-5558.

Contact Information

Primary practice address
1023 New Moody Ln Suite 103 La Grange KY 40031-9177
Phone: (502) 222-5558
Fax: (502) 222-3040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25275 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25275 Kentucky

Profile Details

NPI number 1306882022
LBN Legal business name Spaulding, Timothy Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 3rd, 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 1306882022 NPPES
Kentucky MEDICAID 64252752

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