Individual
DR. KATHLEEN S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
700 PARK AVENUE BRC-110, NORFOLK, VA 23504
(823) 823-8652
Mailing address
2504 CHEYNE WALK, VIRGINIA BEACH, VA 23454-1103
(757) 496-2378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
012002507
VA
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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