Individual
THOMAS E FELLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7607 DIXIE HWY, FLORENCE, KY 41042-2689
(859) 655-6100
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32782
KY
207V00000X
Obstetrics & Gynecology Physician
35052398F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827172
—
OH
05
—
200366960
—
IN
05
—
64327828
—
KY
Enumeration date
05/05/2006
Last updated
03/15/2021
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