Individual
THAD MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 BURT RD, LEXINGTON, KY 40503-2455
(859) 278-9242
(859) 278-0322
Mailing address
9613 MILLARD HIGHWAY, PIKEVILLE, KY 41501-0195
(606) 754-4707
(606) 754-9218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64069271
—
KY
Enumeration date
11/01/2006
Last updated
02/28/2014
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