Individual
THOMAS-KEITH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 WINSLOW DR APT 6, COLUMBUS, OH 43207-2233
(614) 743-8182
Mailing address
2030 WINSLOW DR APT 6, COLUMBUS, OH 43207-2233
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/11/2023
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