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Individual

MARY CAROLYN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
801 BARRET AVE STE 210, LOUISVILLE, KY 40204-1733
(502) 587-0111
(502) 587-9112
Mailing address
801 BARRET AVE STE 210, LOUISVILLE, KY 40204-1733
(502) 587-0111
(502) 587-9112

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7800403300
KY
Enumeration date
08/24/2006
Last updated
09/26/2007
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