Individual
KRISTIE LOUISE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4121 S STATE ROUTE 721, LAURA, OH 45337-8779
(937) 654-9379
Mailing address
4121 S STATE ROUTE 721, LAURA, OH 45337-8779
(937) 654-9379
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
11/22/2022
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