Individual
THOMAS WAYNE MCKAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01032904A
IN
207Q00000X
Family Medicine Physician
40202
KY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
01032904A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
40202
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50015951
PASSPORT
KY
05
—
64080377
—
KY
Enumeration date
07/27/2006
Last updated
02/29/2024
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