# THAD R MANNING D.O., PSC

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

## Provider details

- **NPI number:** 1770754293
- **Authorized official:** DR. THAD R MANNING D.O., (OWNER/DOCTOR)
- **Authorized official phone:** (606) 754-7089

## Contact information

- **Practice address:** 9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
- **Practice address phone:** (606) 754-7089
- **Mailing address:** 9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
- **Mailing address phone:** (606) 754-7089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 02/24/2014