Thomas W. Benninger Pllc

NPI 1063597235 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1063597235
Enumeration Date 10/26/2006
Last Updated 03/18/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS W THOMAS
Position SOLO MEMBER OWNER
Phone (502) 897-9416
Fax (502) 896-8660
Practice Location
4121 DUTCHMANS LN
SUITE 101
LOUISVILLE KY, 40207-4707, US
Phone (502) 897-9416
Fax (502) 896-8660
Business Location
4121 DUTCHMANS LN
SUITE 101
LOUISVILLE KY, 40207-4707, US
Phone (502) 897-2531
Fax (502) 896-5863
Toxanomy
Taxonomy Code 207VG0400X
License State Kentucky
License Number 22073
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According to our database, Thomas W. Benninger Pllc NPI is 1063597235, taxonomy code is 207VG0400X and license number is 22073, license state is located at Kentucky. Thomas W. Benninger Pllc physically located at 4121 Dutchmans Ln, Louisville KY, 40207-4707. NPI Number 1033115704 has the healthcare provider type.

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1063597235 NPI number is provided on an as is basis without warranty of any kind. 1063597235 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas W. Benninger Pllc are for informational purposes only.