TIMOTHY A FEGER MD

Allergy and Immunology

Louisville, Kentucky

Provider NPI: 1215937693

Provider Information:
 TIMOTHY A FEGER MD


Practice Location:
9800 SHELBYVILLE RD SUITE #220 LOUISVILLE, KY 40223 US
Tel: 502-429-8585  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	IN	01043869A
Y	207K00000X	Physicians Allergy & Immunology	KY	28022

Other Provider Identifiers:

Issuer	Number	State	Type
	64280225	KY	05
	200036520	IN	05
PASSPORT HEALTH PLAN	50001588		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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