Individual
DR. KENT H THAYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3151
(719) 634-1994
(719) 634-2906
Mailing address
124 MAYHURST AVE, COLORADO SPRINGS, CO 80906-3056
(719) 577-9655
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18431
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184316
—
CO
Enumeration date
07/12/2005
Last updated
03/21/2011
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