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Contact Information

THOMAS W CHILDRESS JR, D.P.M
3 AUDUBON PLAZA DR
SUITE 320
LOUISVILLE, KY40217-1319
 Phone: 502-893-1844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for THOMAS W CHILDRESS JR · (Male)

NPI Number 1013094978
Status Active
Credentials D.P.M
Entity Individual
Enumeration date 10/31/2006
Last updated 05/13/2019 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 00209
Hospital affiliation(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
  • TWIN LAKES REGIONAL MEDICAL CENTER - (Acute Care)
    910 WALLACE AVENUE
    LEITCHFIELD, KY 42754
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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