Individual
KURT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
Mailing address
1505 NORTH DRIVE, OSHKOSH, WI 54901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9414
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9414
WI
Other
Enumeration date
07/25/2019
Last updated
10/18/2023
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