Individual
DR. THADDEUS ROBERT SALMON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UK POLK DALTON CLINIC, 217 ELM TREE LN, LEXINGTON, KY 40500
(859) 257-8801
Mailing address
900 S LIMESTONE CTW306 DIV OF GENERAL, LEXINGTON, KY 40506-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49988
KY
208000000X
Pediatrics Physician
49988
KY
Other
Enumeration date
05/06/2013
Last updated
08/02/2017
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