Individual
KATHERINE THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15444 DEDEAUX RD, SUITE B, GULFPORT, MS 39503-2637
(228) 832-9038
Mailing address
15444 DEDEAUX RD, SUITE B, GULFPORT, MS 39503-2637
(228) 832-9038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R889394
MS
Other
Enumeration date
01/12/2015
Last updated
01/16/2015
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