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Individual

MS. JACKSON BRYCE THORNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
UNIVERSITY OF LOUISVILLE 530 S. JACKSON STREET, ROOM C2A03, LOUISVILLE, KY 40202
(502) 852-1732
(502) 852-5853
Mailing address
UNIVERSITY OF LOUISVILLE 530 S. JACKSON STREET, ROOM C2A03, LOUISVILLE, KY 40202
(502) 852-1732
(502) 852-5853

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
KY

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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