Organization
BLANKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEITH TOMS MD (COOWNER)
(270) 697-9428
Entity
Organization
Contact information
Practice address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 697-9428
(270) 632-0579
Mailing address
401 LOCUST GROVE RD, HOPKINSVILLE, KY 42240-9350
(270) 697-9428
(270) 632-0579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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