Individual
KEVIN MATHEW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR # DC046.00, COLUMBIA, MO 65212
(573) 882-3101
(573) 884-4540
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1095
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2018016920
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/22/2017
Last updated
07/09/2018
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