# DR. WILLIAM CHARLES THORNDYKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477550416
- **Gender:** Man
- **Credential:** MDCM FRCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 29406 | KY | Yes |

## Other

- **Enumeration date:** 07/06/2005
- **Last updated:** 05/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000051680 | ANTHEM | KY |
| 05 | — | 0130260000 | — | WV |
| 05 | — | 0952821 | — | OH |
| 01 | — | 10806562 | CAQH | KY |
| 01 | — | 340014245 | RAILROAD MEDICARE | KY |
| 01 | — | 5188137 | AETNA | KY |
| 05 | — | 64294069 | — | KY |
