Individual
KIMBERLEE LUCK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1734
(717) 733-0311
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AC000118
MD
367500000X
Certified Registered Nurse Anesthetist
L6-0A00406
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
RN353931L
PA
Other
Enumeration date
07/07/2006
Last updated
11/18/2024
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