Lackey, Thomas Kevin

Lackey, Thomas Kevin is an individual health care provider with primary practice located at 3804 Rainbow Dr , Rainbow City AL 35906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lackey, Thomas Kevin can be contacted via phone (256) 952-2200.

Contact Information

Primary practice address
3804 Rainbow Dr Rainbow City AL 35906
Phone: (256) 952-2200
Fax: (256) 952-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21928 Alabama

Profile Details

NPI number 1720060247
LBN Legal business name Lackey, Thomas Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jun 21st, 2018 - about 6 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 1720060247 NPPES
Alabama Other 051502368 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 009960110 BLUE CROSS BLUE SHIELD

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