Individual
KIMBERLY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 E MCDOWELL RD, PHOENIX, AZ 85008-3617
(602) 381-6064
(602) 381-6047
Mailing address
2802 E MCDOWELL RD, PHOENIX, AZ 85008-3617
(602) 381-6064
(602) 381-6047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP034257
AZ
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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