IndividualActive
Jack Tolliver, M.D.
NPI 1891155024 · Legal Medicine · Louisville, KY
Provider details
- NPI number
- 1891155024
- Entity type
- Individual
- Primary specialty
- Legal MedicineOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21479 (KY)
Specialties & taxonomies
Other Service Providers
Practice location
2120 Cave Spring Pl
Louisville, KY 40223-1562
Phone: (502) 931-1373
Approximate (ZIP-level) locationGet directions
Mailing address
2120 Cave Spring Pl
Louisville, KY 40223-1562
Registry dates
- Enumerated
- 2016-03-01
- Last updated
- 2016-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.