Thomas, Keith D
Thomas, Keith D is an individual health care provider with primary practice located at 811 E Parrish Ave , Owensboro KY 42303-3258. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Thomas, Keith D can be contacted via phone (270) 684-5005.Contact Information
Primary practice address
811 E Parrish Ave
Owensboro KY 42303-3258
Phone: (270) 684-5005
Fax: (270) 926-4432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01044112A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01044112A | Indiana |
Profile Details
| NPI number | 1295785822 |
|---|---|
| LBN Legal business name | Thomas, Keith D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 15th, 2012 - about 14 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 | 1295785822 | NPPES |
| Indiana | Other | 000000067774 | BLUE SHIELD |
| Indiana | Other | 000000683152 | BLUE SHIELD |
| Indiana | MEDICAID | 0360915761 | BLUE SHIELD |
| Indiana | Other | 050040838 | BLUE SHIELD |
| Indiana | MEDICAID | 200047560 | BLUE SHIELD |
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