Individual
KENNETH D. THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
182 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-7548
(603) 622-4369
Mailing address
182 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-7548
(603) 622-4369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5754
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005754
TUFTS PIN
NH
01
—
0441895
UHC PIN
NH
01
—
2062
CIGNA PIN
NH
01
—
2499121
AETNA PIN
NH
05
—
40000193
—
NH
01
—
E52436
ANTHEM REFERRING UPIN
NH
01
—
P602096
OXFORD PIN
NH
Enumeration date
11/08/2005
Last updated
07/09/2007
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