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1720002207

NPI Code Detail

MEDICARE: THOMAS WAYNE MCKAIN MD

MEDICARE: THOMAS WAYNE MCKAIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01032904A	IN
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	01032904A	IN
3	207Q00000X	Family Medicine Physician	40202	KY
4	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	40202	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	50015951	OTHER	KY	PASSPORT

General Provider Information

NPI Number	:	1720002207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS WAYNE MCKAIN MD

Provider Business Mailing Address
First Line	:	6200 DUTCHMANS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3271
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6655

Provider Business Practice Location Address
First Line	:	6200 DUTCHMANS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3271
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/29/2024

Similar Medicare Providers

1295694818 — LINDSAY MCKINNEY
Practice Location Address:

6200 DUTCHMANS LN
LOUISVILLE, KY
40205-3271

Practice Phone: 502-456-6200
Practice Fax:

1174513790 — WILLIAM JOSEPH TRAVIS M.D.
Practice Location Address:

6200 DUTCHMANS LN
LOUISVILLE, KY
40205-3271

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1689638470 — LYNN ADAMS O'KEEFFE M.D.
Practice Location Address:

6200 DUTCHMANS LN
LOUISVILLE, KY
40205-3271

Practice Phone: 502-456-6200
Practice Fax: 502-456-6655

1881628857 — LORI ANNE EARNSHAW MD
Practice Location Address:

6200 DUTCHMANS LN
LOUISVILLE, KY
40205-3271

Practice Phone: 502-456-6200
Practice Fax: 502-456-6655

1467568741 — STACEY ELIZABETH MERRITT-JENNEY MD
Practice Location Address:

6200 DUTCHMANS LN
LOUISVILLE, KY
40205-3271

Practice Phone: 502-456-6200
Practice Fax: 502-456-6655

1609922707 — HOSPARUS INC.
Practice Location Address:

6200 DUTCHMANS LN
LOUISVILLE, KY
40205-3271

Practice Phone: 502-456-6200
Practice Fax: 502-456-6275

Directions to “ THOMAS WAYNE MCKAIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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