Doctor Name: | KATHRYN A THOMAS |
NPI Number: | 1043482300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 211 E Havens Ave Mitchell, SD - 573014402 |
Business Phone Number: | 6059964671 |
Business Fax Number: | 6059964671 |
Mailing Address: | 211 E Havens Ave, MITCHELL |
State: | SD |
Postal Code: | 573014402 |
Phone Number: | 6059964671 |
Fax Number: | 6059964671 |
NPI Enumeration Date: | 03/27/2008 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |