Individual
TAYLOR C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4423 BARDSTOWN ROAD, LOUISVILLE, KY 40218
(502) 495-2400
(502) 495-6345
Mailing address
100 E LIBERTY STREET SUITE 800, LOUISVILLE, KY 40202-1428
(502) 540-3387
(502) 540-3393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013766
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100621730
—
KY
01
—
K287280
MEDICARE
KY
Enumeration date
08/21/2019
Last updated
10/01/2019
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