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Individual

DR. WILLIAM CHARLES THORNDYKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MDCM FRCS

Contact information

Practice address
336 29TH ST, ASHLAND, KY 41101-1900
(606) 324-4404
(606) 325-6822
Mailing address
336 29TH ST, ASHLAND, KY 41101-1900
(606) 324-4404
(606) 325-6822

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29406
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000051680
ANTHEM
KY
05
0130260000
WV
05
0952821
OH
01
10806562
CAQH
KY
01
340014245
RAILROAD MEDICARE
KY
01
5188137
AETNA
KY
05
64294069
KY
Enumeration date
07/06/2005
Last updated
05/31/2011
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