Healthcare Provider Details

I. General information

NPI: 1447271283
Provider Name (Legal Business Name): THOMAS HUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 NEWBURG RD
LOUISVILLE KY
40218-3368
US

IV. Provider business mailing address

12300 PLANTSIDE DR
LOUISVILLE KY
40299-6345
US

V. Phone/Fax

Practice location:
  • Phone: 502-909-0772
  • Fax: 855-859-0123
Mailing address:
  • Phone: 502-909-0772
  • Fax: 855-859-0123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number39355
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number39355
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: