Individual
DR. KENNETH JASON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4016 TRIANGLE DR, CHARLOTTE, NC 28208-2828
(704) 392-1338
(704) 392-8156
Mailing address
PO BOX 667948, CHARLOTTE, NC 28266-7948
(704) 392-1338
(704) 392-8156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907366
—
NC
Enumeration date
03/07/2007
Last updated
09/16/2008
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