Individual
KELSEY B'ANCA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 5TH AVE W, CRESCO, IA 52136-1245
(563) 547-2022
(563) 547-3448
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-50218
IA
Other
Enumeration date
05/16/2019
Last updated
08/11/2022
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