Individual
MRS. KERRY LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 BASH ST, SUITE 600, INDIANAPOLIS, IN 46250-5533
(317) 627-9870
Mailing address
8501 BASH ST., SUITE 600, INDIANAPOLIS, IN 46250
(317) 627-9870
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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