Individual
KELLY B THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Mailing address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35743
AZ
207N00000X
Dermatology Physician
Primary
46320
CO
207N00000X
Dermatology Physician
47625
MN
207N00000X
Dermatology Physician
ME98103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139737
—
AZ
05
—
992630500
—
MN
Enumeration date
02/03/2006
Last updated
03/31/2009
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