person
Jonathan Tucker Prime
Foot & Ankle Surgery Podiatrist in Louisville, Kentucky
NPI 1669042172

Jonathan Tucker Prime is a Foot & Ankle Surgery Podiatrist based in Louisville, KY and is specialized in Foot & Ankle Surgery. Jonathan Tucker Prime practices in Louisville, KY. The NPI Number for Jonathan Tucker Prime is 1669042172 and holds a License No. 269628 (Kentucky).

The current practice location address for Jonathan Tucker Prime is 302 Axis Dr Apt 307, Louisville, KY and can be reached out via phone at 171-747-5974.

Location: 302 Axis Dr Apt 307, Louisville, KY, 40206-0139
person
Provider Profile Details
NPI Number
1669042172
Provider Name
Jonathan Tucker Prime
Credential
Provider Entity Type
Individual
Gender
Male
Address
302 Axis Dr Apt 307, Louisville, KY, 40206-0139
Phone Number
171-747-5974
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 Axis Dr Apt 307
City
State
Zip
40206-0139
Phone Number
171-747-5974
Fax Number
person
Provider Business Mailing Address Details
Address
302 Axis Dr Apt 307
City
State
Zip
40206-0139
Phone Number
171-747-5974
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
269628 (Kentucky)
Definition
Definition to come...
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