Individual
MEGAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HWY VV, KENNETT, MO 63857
(573) 359-9840
Mailing address
925 HWY VV, KENNETT, MO 63857
(573) 359-9840
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81288
TN
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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