Individual
MR. KYLE ANTHONY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
Mailing address
311 BECKLEY WOODS DR, LOUISVILLE, KY 40245-4650
(502) 759-7054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1144536
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3017183
KY
Other
Enumeration date
07/11/2021
Last updated
01/06/2023
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