Mcmurry, Gorden Thomas
Mcmurry, Gorden Thomas is an individual health care provider with primary practice located at 4004 Dupont Cir Suite 220, Louisville KY 40207-4819. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Mcmurry, Gorden Thomas can be contacted via phone (502) 893-0159.Contact Information
Primary practice address
4004 Dupont Cir Suite 220
Louisville KY 40207-4819
Phone: (502) 893-0159
Fax: (502) 213-3853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 14174 | Kentucky |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 14174 | Kentucky |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01039324A | Indiana |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 14174 | Kentucky |
Profile Details
| NPI number | 1871599407 |
|---|---|
| LBN Legal business name | Mcmurry, Gorden Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 17th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871599407 | NPPES |
| Kentucky | MEDICAID | 64141740 | |
| Kentucky | Other | 040003867 |
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