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Contact Information

KELLY THOMAS, LPN
2240 WINROW AVE
USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ85613
 Phone: 520-538-0393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for KELLY THOMAS · (Female)

NPI Number 1033660733
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 10/18/2016
Last updated 10/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LP036941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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