Coburn, Thomas Fred

Coburn, Thomas Fred is an individual health care provider with primary practice located at 200 Rice St , Wilmore KY 40390-1359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coburn, Thomas Fred can be contacted via phone (859) 858-9355.

Contact Information

Primary practice address
200 Rice St Wilmore KY 40390-1359
Phone: (859) 858-9355
Fax: (859) 858-0416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31991 Kentucky

Profile Details

NPI number 1386623601
LBN Legal business name Coburn, Thomas Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386623601 NPPES
Kentucky MEDICAID 64319916

Popular Providers