Individual
MS. KELLEY LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S. JACKSON STREET, ROOM C2A01, LOUISVILLE, KY 40202
(502) 852-8266
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-8266
(502) 852-3762
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100075180
—
KY
Enumeration date
12/12/2008
Last updated
09/14/2012
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