| Organization Name: | MEDICAL ASSOCIATES OF SOUTHERN KY PLLC |
| NPI Number: | 1063502334 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM C THORNBURY, JR (OWNER) |
| Mailing Address: | 211 Professional Park Dr Glasgow |
| State: | KY US |
| Postal Code: | 421413486 |
| Phone Number: | 2769352141 |
| Fax Number: | 2769352269 |
| NPI Enumeration Date: | 10/14/2006 |
| NPI Last Update Date: | 08/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA905 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |