Individual
KRISTY MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
626 TAFT STREET, COLUMBUS, NM 88029
(575) 531-2165
(575) 531-2172
Mailing address
626 TAFT STREET, P.O. BOX 690, COLUMBUS, NM 88029
(575) 531-2165
(575) 531-2172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2002-0035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59783214
—
NM
Enumeration date
08/26/2005
Last updated
09/22/2023
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