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Individual
DR. MARK KIERNAN THOMAS
Active
Individual
DR. MARK KIERNAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD180256
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011285
TENNCARE
TN
01
—
1315687
UNITED HEALTH CARE
TN
01
—
3071396
BLUE CROSS BLUE SHIELD
TN
05
—
3092413
—
TN
01
—
4496138
AETNA
TN
01
—
P00259915
RAILROAD MEDICARE
TN
01
—
TN0134
JOHN DEERE HEALTHCARE
TN
01
—
TN0184
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/15/2006
Last updated
03/13/2019
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