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Individual

DR. KATHY THORN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.C., D.A.C.B.R.

Contact information

Practice address
851A DURHAM RD, WAKE FOREST, NC 27587-8793
(919) 562-6570
Mailing address
851A DURHAM RD, WAKE FOREST, NC 27587-8793
(919) 562-6570

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
2160
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08817
BLUE CROSS BLUE SHIELD
NC
Enumeration date
12/20/2005
Last updated
07/08/2007
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