Individual
DR. CHADWARD THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 ADAMS LN STE 600-700, PIKEVILLE, KY 41501-3087
(606) 509-2000
(606) 509-2002
Mailing address
PO BOX 1228, PIKEVILLE, KY 41502-1228
(606) 509-2000
(606) 509-2002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38711
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64092638
—
KY
Enumeration date
07/13/2006
Last updated
01/26/2024
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