Mcmurry, Gorden Thomas

Mcmurry, Gorden Thomas is an individual health care provider with primary practice located at 4004 Dupont Cir Suite 220, Louisville KY 40207-4819. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Mcmurry, Gorden Thomas can be contacted via phone (502) 893-0159.

Contact Information

Primary practice address
4004 Dupont Cir Suite 220 Louisville KY 40207-4819
Fax: (502) 213-3853
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14174 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 14174 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01039324A Indiana
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 14174 Kentucky

Profile Details

NPI number 1871599407
LBN Legal business name Mcmurry, Gorden Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Apr 17th, 2017 - about 7 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 1871599407 NPPES
Kentucky MEDICAID 64141740
Kentucky Other 040003867

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