Individual
KERRI A THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-6124
(410) 328-1112
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-6124
(410) 328-1112
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D62896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031403000
—
MD
01
—
647074-01 & 02
CAREFIRST BC/BS
MD
01
—
S062-036
CAREFIRST BC/BS REGIONAL
MD
Enumeration date
03/16/2007
Last updated
05/18/2012
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