Doctor Name: | DR. KENICA AMANDA THOMASON |
NPI Number: | 1649501479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 3931 |
Business Practice Address: | 1809 Commons Cir A Yukon, OK - 73099 |
Business Phone Number: | 4055776268 |
Business Fax Number: | 4055776371 |
Mailing Address: | 1809 Commons Cir, A YUKON |
State: | OK |
Postal Code: | 73099 |
Phone Number: | 4055776268 |
Fax Number: | 4055776371 |
NPI Enumeration Date: | 01/18/2010 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |