Individual
DR. ISAAC THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 THOMAS MORE PKWY, #202, EDGEWOOD, KY 41017-5102
(859) 341-6281
(859) 341-4661
Mailing address
830 THOMAS MORE PKWY, # 202, EDGEWOOD, KY 41017-5102
(859) 341-6281
(859) 341-4661
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01049480A
IN
207RN0300X
Nephrology Physician
Primary
34803
KY
207RN0300X
Nephrology Physician
35-078078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200454710
—
IN
05
—
2187664
—
OH
05
—
64015413
—
KY
Enumeration date
06/22/2006
Last updated
11/02/2011
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