Thor Tangvald M.d. Inc.

NPI #1235280108 in Bellevue, Kentucky

Provider Information

NPI Number: 1235280108
Entity Type: Organization
Organization Name: Thor Tangvald M.d. Inc.
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Jan 16, 2007
Last Updated: Jun 3, 2009

Practice Location

Address: 103 LANDMARK DR
Address 2: SUITE 240
City: Bellevue
State: Kentucky
ZIP Code: 41073-1393
Phone: (859) 292-3900

Authorized Official

Name: MR. THOR TANGVALD, M.D.
Title: OWNER CEO
Phone: (859) 292-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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