Individual
DR. THOMAS ALVIS THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
106 N CROSS STREET, ALBANY, KY 42602
(606) 328-1204
(888) 960-2041
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04885
KY
207Q00000X
Family Medicine Physician
DO0000003582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100685010
—
KY
Enumeration date
10/31/2008
Last updated
03/05/2025
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