Individual
MR. JONATHAN WAYNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3950 KRESGE WAY STE 308, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Mailing address
3950 KRESGE WAY STE 308, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3015149
KY
363LF0000X
Family Nurse Practitioner
Primary
3015149
KY
Other
Enumeration date
08/06/2021
Last updated
09/02/2021
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