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Individual

MR. GARY L THURMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.R.N.P

Contact information

Practice address
215 CENTRAL AVE., STE. 110, LOUISVILLE, KY 40208-1418
(502) 852-6479
(502) 852-0660
Mailing address
501 E. BROADWAY, STE. 290, LOUISVILLE, KY 40202-2040
(502) 217-8221
(502) 217-5056

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1095067
KY
208000000X
Pediatrics Physician
Primary
3006586
KY
363LF0000X
Family Nurse Practitioner
6586P
KY

Other

Enumeration date
10/18/2010
Last updated
05/31/2011
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