Individual
CAITLIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 410, LOUISVILLE, KY 40202-5709
(502) 588-4400
Mailing address
5752 RALSTON AVE, INDIANAPOLIS, IN 46220
(502) 523-4426
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
55133
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11019631A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/28/2017
Last updated
06/30/2021
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