Individual
DR. MICHAEL KEITH TOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6767
(270) 887-6161
Mailing address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6767
(270) 887-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39087
KY
208000000X
Pediatrics Physician
39087
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64096944
—
KY
01
—
P400016004
MEDICARE PTAN
KY
Enumeration date
05/17/2006
Last updated
04/20/2017
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