Individual
KESHA L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1175
Mailing address
6608 VINTAGE LN, MC CALLA, AL 35111-3485
(205) 266-8273
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
1-106664
AL
363LF0000X
Family Nurse Practitioner
Primary
1-106664
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
08/16/2021
Last updated
12/16/2024
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