Organization
THOMAS P. VON UNRUG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P VON UNRUG M.D. (OWNER)
(859) 276-0714
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD STE B299, LEXINGTON, KY 40504-3747
(859) 276-0714
(859) 276-0363
Mailing address
1401 HARRODSBURG RD STE B299, LEXINGTON, KY 40504-3747
(859) 276-0714
(859) 276-0363
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
31364
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64313646
—
KY
Enumeration date
05/07/2010
Last updated
10/13/2021
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