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Individual

DR. THOMAS E MENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1760 NICHOLASVILLE RD, STE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Mailing address
1760 NICHOLASVILLE RD, STE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29778
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000050373
ANTHEM BCBS
KY
05
64297781
KY
01
666082
ANTHEM BCBS
KY
Enumeration date
09/06/2005
Last updated
07/19/2010
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