Individual
DR. KENNETH AUSTIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 BOSTON AVE, SUITE 205, STRATFORD, CT 06614-5246
(203) 377-7670
Mailing address
305 BOSTON AVE, SUITE 205, STRATFORD, CT 06614-5246
(203) 377-7670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25956
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259563
—
CT
Enumeration date
08/21/2006
Last updated
07/09/2007
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