Individual
KATHLEEN M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9669 E 146TH ST, SUITE 250A, NOBLESVILLE, IN 46060-5004
(317) 621-1340
(317) 621-1341
Mailing address
6626 E 75TH ST, 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
02002532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000575025
ANTHEM
IN
01
—
000000658832
ANTHEM
IN
05
—
200469250
—
IN
01
—
P01009931
MEDICARE RR
IN
Enumeration date
07/24/2006
Last updated
11/27/2023
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