Individual
KATHLEEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1665 BONANZA DR, PARK CITY, UT 84060-5127
(435) 649-7640
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 649-7640
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
216373-4405
UT
207Q00000X
Family Medicine Physician
Primary
216373-4405
UT
Other
Enumeration date
05/23/2006
Last updated
01/25/2013
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