Individual
DR. THOMAS E. KARELIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 ROY CAMPBELL DR, HAZARD, KY 41701-9486
(606) 487-0776
(606) 487-0777
Mailing address
PO BOX 1297, HAZARD, KY 41702-1297
(606) 487-0776
(606) 487-0777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36880
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00216005
MEDICARE PTAN
KY
01
—
36880
STATE LICENCE NUMBER
KY
05
—
64037088
—
KY
01
—
P00640620
RAILROAD MEDICARE
KY
01
—
P00693305
RAILROAD MEDICARE
KY
Enumeration date
08/13/2006
Last updated
03/07/2023
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