Individual
DR. THOMAS MARK DUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24524
KY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
24524
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030315
—
IN
05
—
64245244
—
KY
Enumeration date
06/17/2005
Last updated
02/15/2023
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