Lewellen, Thomas

Lewellen, Thomas is an individual health care provider with primary practice located at 1740 Nicholasville Rd , Lexington KY 40503-1431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Lewellen, Thomas can be contacted via phone (859) 260-6970.

Contact Information

Primary practice address
1740 Nicholasville Rd Lexington KY 40503-1431
Fax: (859) 260-6649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 02835 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 02835 Kentucky

Profile Details

NPI number 1114912797
LBN Legal business name Lewellen, Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 13th, 2016 - about 8 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 1114912797 NPPES
Kentucky MEDICAID 64077936

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