# MEDICAL ASSOCIATES OF SOUTHERN KENTUCKY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** m.a.s.k.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063502334
- **Authorized official:** DR. WILLIAM C THORNBURY JR. MD (OWNER)
- **Authorized official phone:** (270) 659-9696

## Contact information

- **Practice address:** 211 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3486
- **Practice address phone:** (276) 935-2141
- **Practice address fax:** (276) 935-2269
- **Mailing address:** 211 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3486
- **Mailing address phone:** (270) 659-9696
- **Mailing address fax:** (270) 659-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | PA905 | KY | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/14/2006
- **Last updated:** 05/07/2021