Individual
KENETA LACHELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013872
KY
Other
Enumeration date
11/18/2010
Last updated
08/02/2023
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