Individual
KRISTIE Y. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
188 HOSPITAL DR STE 405, FAIRHOPE, AL 36532-2018
(251) 990-0360
(251) 990-0366
Mailing address
188 HOSPITAL DR STE 405, FAIRHOPE, AL 36532-2018
(251) 990-0360
(251) 990-0366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1151
AL
363AM0700X
Medical Physician Assistant
PA9108275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017624500
—
FL
01
—
N03OR
BCBS
FL
Enumeration date
09/25/2014
Last updated
08/23/2022
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