Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 22138 | KY |
NPI | 1033140918 |
---|---|
Provider Name | Dr. Thomas G Abell JR. |
First Address | Lexington, KY 40509-8004 |
Second Address | Campbellsville, KY 42718-9663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 18/05/2012 |