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Individual
KARRIE L THOMSON
Active
Individual
KARRIE L THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000489A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340610
ANTHEM PIN NUMBER
IN
01
—
1487680518
GROUP NPI
IN
05
—
300015559
—
IN
01
—
970019734
MEDICARE RAILROAD
IN
Enumeration date
08/01/2006
Last updated
02/19/2025
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