Individual
THOMAS LEE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 23RD ST, SUITE 415, ASHLAND, KY 41101-2880
(606) 325-6888
(606) 326-9368
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6212
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48572
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31491200
—
WI
Enumeration date
07/14/2006
Last updated
12/01/2021
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