Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Dale Tolliver Jr., MD

Individual provider Legal Medicine · NPI 1891155024

Dr. Jack Dale Tolliver Jr., MD is a Legal Medicine in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2120 Cave Spring Pl
Louisville, KY 40223-1562
Phone: (502) 931-1373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 21479 (KY)

Record details

NPI number1891155024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 1, 2016
Last updated in NPPESMarch 1, 2016

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