Individual
DR. THOMAS K MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 S BANK ST, MT STERLING, KY 40353-1322
(859) 498-2815
(859) 498-5669
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26861
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611202293
FEDERAL TAX NUMBER
—
05
—
64268618
—
KY
Enumeration date
02/14/2007
Last updated
08/08/2019
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