Individual
SHANNA S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7700
Mailing address
3774 STATE ROUTE 360, MORGANFIELD, KY 42437-5612
(270) 822-4386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1650
KY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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