Individual
KATHALEEN L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
60205 BODNAR BLVD, MISHAWAKA, IN 46544-9342
(574) 345-0246
(574) 381-5740
Mailing address
350 COMMERCE SQ, MICHIGAN CITY, IN 46360-3376
(219) 872-9158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28127434A
IN
Other
Enumeration date
12/14/2006
Last updated
12/16/2024
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