Individual
MRS. KELLY ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
Mailing address
68 CANYON VIEW DR, SHERIDAN, WY 82801-9008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
38639.1563
WY
363LF0000X
Family Nurse Practitioner
95002052
CA
Other
Enumeration date
02/04/2015
Last updated
05/24/2021
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