Individual
HALEY NICOLE THOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 S CLIFTON AVE STE 400, WICHITA, KS 67218-2961
(316) 274-1550
Mailing address
1515 S CLIFTON AVE, WICHITA, KS 67218-2900
(316) 274-1550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02380
KS
Other
Enumeration date
05/18/2020
Last updated
04/29/2025
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