Individual
THOMAS ROBERT HUSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2413 RING RD STE 100, ELIZABETHTOWN, KY 42701-5924
(270) 737-0077
(270) 765-6243
Mailing address
1 JARRETT WHITE RD, DEPARTMENT OF FAMILY MEDICINE, TRIPLER ARMY MEDICAL CENTER, HI 96859-5000
(808) 433-3300
(808) 433-1153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50677
KY
Other
Enumeration date
12/15/2005
Last updated
10/18/2017
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