IndividualActive
Susan Tate, M.D.
NPI 1811913585 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Louisville, KY
Provider details
- NPI number
- 1811913585
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 39021 (KY)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 39021 (KY)
Allopathic & Osteopathic Physicians
Practice location
2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903
Phone: (502) 454-7871
Fax: (502) 454-7872
Approximate (ZIP-level) locationGet directions
Mailing address
2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2014-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.