Individual
KENECIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
456 DEKALB AVE APT 19D, BROOKLYN, NY 11205-4443
(917) 780-9156
Mailing address
456 DEKALB AVE APT 19D, BROOKLYN, NY 11205-4443
(917) 780-9156
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
847227-01
NY
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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