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Individual
MR. THOMAS A KINGSLEY
Active
Individual
MR. THOMAS A KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015726-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003832692
GROUP NPI#
NY
01
—
2042030
UNITED HEALTHCARE PROV ID
NY
01
—
2984871
AETNA PROVIDER ID
NY
01
—
437294
MVP PROVIDER ID
NY
01
—
55418
GHI-HMO PROVIDER ID
NY
01
—
810921
ACN GROUP PROVIDER ID
NY
01
—
9386153
PHCS PROVIDER ID
NY
01
—
KI0Q0WSI10
MEDICARE GROUP EDI#
NY
01
—
P2791617
OXFORD PROVIDER ID
NY
01
—
QL686Q0SI1
MEDICARE T.KINGSLEY PAPER
NY
01
—
TK0QL68620
MEDICARE T.KINGSLEY EDI#
NY
Enumeration date
07/31/2006
Last updated
10/02/2007
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