Individual
CAROLYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 502-7000
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2015035148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115243
LICENSE
MO
01
—
2015035148
LICENSE
MO
Enumeration date
08/04/2015
Last updated
10/05/2015
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