| Thor Tangvald M.d. Inc. | |
|
103 Landmark Dr Suite 240 Bellevue KY 41073-1393 | |
| (859) 292-3900 | |
| (859) 292-3903 |
| Full Name | Thor Tangvald M.d. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 103 Landmark Dr, Bellevue, Kentucky |
| Authorized Official Name and Position | Thor Tangvald (OWNER CEO) |
| Authorized Official Contact | 8592923900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thor Tangvald M.d. Inc. 103 Landmark Dr Suite 240 Bellevue KY 41073-1393 Ph: (859) 292-3900 | Thor Tangvald M.d. Inc. 103 Landmark Dr Suite 240 Bellevue KY 41073-1393 Ph: (859) 292-3900 |
| NPI Number | 1235280108 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235280108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |