DR. JACK DALE TOLLIVER JR. M.D.
NPI 1891155024
Legal Medicine in Louisville, KY

Q: What is Jack Tolliver's NPI number?

The NPI number for Jack Tolliver is 1891155024. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Q: What is Jack Tolliver's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Tolliver was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 01, 2016

2120 CAVE SPRING PL, LOUISVILLE, KY 40223(502) 931-1373 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Dale Tolliver Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK DALE TOLLIVER JR. M.D. (NPI 1891155024) is an individual legal medicine provider in Louisville, Kentucky, licensed in Kentucky (21479) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1891155024

Entity TypeIndividualMale

Primary Taxonomy173000000X

Provider Legal NameDR. JACK DALE TOLLIVER JR.Credential: M.D.

Location Address2120 CAVE SPRING PLLouisville, KY 40223-1562

Mailing Address2120 Cave Spring PlLouisville, KY 40223-1562 · (502) 931-1373

Phone(502) 931-1373

Sole ProprietorYes

Enumeration DateMarch 1, 2016

✔ NPI 1891155024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in KY · 21479

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

2120 CAVE SPRING PL, Louisville, KY 40223

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Other Identifiers 1

Other21479KY · Kentucky Board Of Medical Licensure

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Tolliver's NPI number?

The NPI number for Jack Tolliver is 1891155024. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Where is Jack Tolliver located?

Jack Tolliver practices at 2120 Cave Spring Pl, Louisville, KY 40223. The listed phone number is (502) 931-1373.

What is Jack Tolliver's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Jack Tolliver was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.