Individual
NATHANIAL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2050 VERSAILLES RD STE U102, LEXINGTON, KY 40504-1405
(859) 257-4888
(859) 323-1123
Mailing address
120 E MAIN ST APT 2102, LEXINGTON, KY 40507-1352
(513) 464-0482
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05243
KY
208100000X
Physical Medicine & Rehabilitation Physician
TP806
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2018
Last updated
06/22/2022
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