Individual
ADAM THETFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
Mailing address
151 GOODRICH AVE, LEXINGTON, KY 40503-1911
(615) 804-9834
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4023555
KY
Other
Enumeration date
08/29/2024
Last updated
09/12/2024
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