Michael D Thedford
Michael D Thedford is a Peer Specialist in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2023
Practice location Address checks out
4106 Flintlock DrLouisville, KY 40216-1534
Phone: (502) 715-6792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 1211944 (KY) |
|---|
Record details
| NPI number | 1366222812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 2, 2023 |
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