Organization
MY PRIVATE MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PRATHER RANKIN M.D. (PRESIDENT)
(502) 253-6582
Entity
Organization
Contact information
Practice address
175 S ENGLISH STATION RD, LOUISVILLE, KY 40245-4160
(502) 253-6582
(502) 253-6585
Mailing address
175 S ENGLISH STATION RD, LOUISVILLE, KY 40245-4160
(502) 253-6582
(502) 253-6585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19902
MH
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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