Individual
THOMAS B FINERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1085782
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3003678
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283640
ANTHEM BLUE SHIELD
KY
05
—
201364060
—
IN
01
—
2773482000
PASSPORT ADVANTAGE
KY
01
—
430079778
RAILROAD MEDICARE
—
01
—
50012426
PASSPORT
KY
05
—
7100109450
—
KY
Enumeration date
10/04/2005
Last updated
03/01/2023
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