Thomas, Angela D

Thomas, Angela D is an individual health care provider with primary practice located at 13111 Eastpoint Park Blvd , Louisville KY 40223-4164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thomas, Angela D can be contacted via phone (502) 443-9962.

Contact Information

Primary practice address
13111 Eastpoint Park Blvd Louisville KY 40223-4164
Phone: (502) 443-9962
Fax: (844) 300-5176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003864 Kentucky

Profile Details

NPI number 1730172396
LBN Legal business name Thomas, Angela D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jan 19th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730172396 NPPES
Kentucky MEDICAID 78008455

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