Individual
KIASI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1838 NE 48TH STREET, OKLAHOMA CITY, OK 73111
(405) 230-6271
Mailing address
4 NE 10TH ST STE 273, OKLAHOMA CITY, OK 73104-1402
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
224P00000X
Prosthetist
—
OK
Other
Enumeration date
07/19/2023
Last updated
03/06/2024
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