Thurston, Timothy K.

Thurston, Timothy K. is an individual health care provider with primary practice located at 225 Medical Center Dr Suite 303, Paducah KY 42003-7914. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Thurston, Timothy K. can be contacted via phone (270) 442-9463.

Contact Information

Primary practice address
225 Medical Center Dr Suite 303 Paducah KY 42003-7914
Phone: (270) 442-9463
Fax: (270) 442-2241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA154 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 154 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085000805 Illinois

Profile Details

NPI number 1881681161
LBN Legal business name Thurston, Timothy K.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 8th, 2015 - about 11 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 1881681161 NPPES
Kentucky MEDICAID 7100183160
Kentucky Other P01012695

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