Kelly Thomas

NPI #1164230504 in Richardson, Texas

Provider Information

NPI Number: 1164230504
Entity Type: Individual
Name: Kelly Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 2323 N CENTRAL EXPY
City: Richardson
State: Texas
ZIP Code: 75080-2712
Phone: (214) 453-4533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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