# KENNETH A. THOMAS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063755262
- **Authorized official:** KENNETH AUSTIN THOMAS M.D. (OWNER)
- **Authorized official phone:** (203) 377-7670

## Contact information

- **Practice address:** 305 BOSTON AVE, SUITE 205, STRATFORD, CT 06614-5246
- **Practice address phone:** (203) 377-7670
- **Practice address fax:** (203) 377-6497
- **Mailing address:** 305 BOSTON AVE, SUITE 205, STRATFORD, CT 06614-5246
- **Mailing address phone:** (203) 377-7670
- **Mailing address fax:** (203) 377-6497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25956 | CT | Yes |

## Other

- **Enumeration date:** 04/05/2013
- **Last updated:** 04/05/2013