person
Terrance L Blackford, MD
Urology Physician in Louisville, Kentucky
NPI 1588750509

Terrance L Blackford is a Urology Physician based in Jeffersonville, KY. Terrance L Blackford practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Terrance L Blackford is 1588750509 and holds a License No. 37196 (Kentucky).

The current practice location address for Terrance L Blackford is 1900 Bluegrass Ave, Louisville, KY and can be reached out via phone at 502-375-0009 and via fax at 502-375-2150.

Location: 1900 Bluegrass Ave, Louisville, KY, 47130-3769
person
Provider Profile Details
NPI Number
1588750509
Provider Name
Terrance L Blackford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1900 Bluegrass Ave, Louisville, KY, 47130-3769
Phone Number
502-375-0009
Fax Number
502-375-2150
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65909285 05 KY
7616735001 01 CIGNA
340020112 01 RAILROAD MEDICARE
340020112 01 KY RAILROAD MEDICARE
7771374 01 AETNA
1168051 01 KY PASSPORT
000000231288 01 ANTHEM
1106100 01 KY PASSPORT
64055122 05 KY
institution
Provider Business Practice Location Address Details
Address
1900 Bluegrass Ave
City
State
Zip
40215
Phone Number
502-375-0009
Fax Number
502-375-2150
person
Provider Business Mailing Address Details
Address
1900 Bluegrass Ave
City
State
Zip
40215
Phone Number
502-375-0009
Fax Number
502-375-2150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
37196 (Kentucky)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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