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Contact Information

KELSIE THOMAS
805 COUNTY ROAD 466
LADY LAKE, FL32159
 Phone: 352-674-9218
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELSIE THOMAS · (Female)

NPI # 1184286221
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2019
Last updated 06/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9112153
  • FL Other 9112153 OTHER
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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