Individual
KYLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD, BLDG. 4076, ROOM 3C-401, FORT WAINWRIGHT, AK 99703-7440
(907) 361-6028
Mailing address
USA MEDDAC-AK ATTN: MCUC-MMD-QM (CREDENTIALS), 1060 GAFFNEY RD. #7440, FORT WAINWRIGHT, AK 99703-7440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2021
Last updated
11/15/2022
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