Individual
COREY CLINTON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1055 WELLINGTON WAY, SUITE 110, LEXINGTON, KY 40513-1265
(859) 219-2822
(859) 219-2825
Mailing address
1055 WELLINGTON WAY, SUITE 275, LEXINGTON, KY 40513-1259
(859) 219-2828
(859) 219-2840
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3007604
KY
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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