Individual
DR. THOMAS WAYNE CHILDRESS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE 320, LOUISVILLE, KY 40217-1319
(502) 893-1844
Mailing address
3 AUDUBON PLAZA DR, SUITE 320, LOUISVILLE, KY 40217-1319
(502) 893-1844
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00209
KY
Other
Enumeration date
10/31/2006
Last updated
05/13/2019
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