Individual
DR. HEATHER LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1365 KELSO RD, KENT, OH 44240
(330) 676-0488
(330) 676-0720
Mailing address
744 JAMESTOWN CT, HUDSON, OH 44236-4415
(330) 650-9975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075171
OH
207Q00000X
Family Medicine Physician
4301087628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202557
—
OH
Enumeration date
07/31/2006
Last updated
10/24/2008
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