# THOMAS C. THORNBERRY, M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699963322
- **Authorized official:** THOMAS C THORNBERRY MD (OWNER)
- **Authorized official phone:** (859) 498-7345

## Contact information

- **Practice address:** 260 EVANS AVE, MT STERLING, KY 40353-9700
- **Practice address phone:** (859) 498-7345
- **Practice address fax:** (859) 498-3780
- **Mailing address:** 260 EVANS AVE, MT STERLING, KY 40353-9700
- **Mailing address phone:** (859) 498-7345
- **Mailing address fax:** (859) 498-3780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29071 | KY | Yes |
| 261QP2300X | Primary Care Clinic/Center | 29071 | KY | — |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 01/28/2015