Healthcare Provider Details

I. General information

NPI: 1558672808
Provider Name (Legal Business Name): CAROL L THURMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 11/23/2024
Certification Date: 11/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 LEXINGTON RD
HARRODSBURG KY
40330-1260
US

IV. Provider business mailing address

805 N WHITTINGTON PKWY
LOUISVILLE KY
40222-7101
US

V. Phone/Fax

Practice location:
  • Phone: 859-734-7791
  • Fax: 859-734-5679
Mailing address:
  • Phone: 800-807-6555
  • Fax: 859-734-3109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3006507
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3006507
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: