Individual
KEVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4231
Mailing address
3050 MONTVALE DR, STE A, SPRINGFIELD, IL 62704-6924
(502) 583-2731
(502) 583-2733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2020011812
MO
2085R0202X
Diagnostic Radiology Physician
Primary
34846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200550002
—
MO
05
—
64003312
—
KY
Enumeration date
08/03/2006
Last updated
06/29/2021
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